MR. SAMUEL EDWARD WARD (MD) – Family Medicine Physician, NPI 1982661757
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for MR. SAMUEL EDWARD WARD (MD)
1409 BRICKYARD RD
CHIPLEY, FL 324285967
Phone: (850) 547-3679
Fax: (855) 492-6785
Type: Location
1410, Brickyard Road, Chipley, Washington County, Florida, 32428, United States
CHIPLEY, FL 32428
Phone: (850) 638-3400
Fax: (850) 638-9611
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $166.
Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Ascensia Diabetes Care Us Inc. ($166).
Total Amount
$166
General + Research + Ownership
Payments
1
Total payment records
General Amount
$166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ascensia Diabetes Care Us Inc. | $166 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050419000256 | I | Family Practice | FL | TBD |
| I20150714000404 | I | Emergency Medicine | AR | TBD |
| I20231205004049 | I | Family Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 126 | 121 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 73 | 71 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 34 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 27 | $0 |
Insurance plans in this area (ZIP 32428)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 85610 | Blood test, clotting time | 41 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Emergency Medicine | FL | |
| Emergency Medicine | MO | |
| Emergency Medicine | FL | |
| Orthopedic Surgery | FL | |
| Emergency Medicine, Internal Medicine | FL | |
| Family Practice, Emergency Medicine | LA | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA |
Reviews
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