DR. SAMUEL W. MIETLING (M.D.) – Body Imaging Physician, NPI 1750347589
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for DR. SAMUEL W. MIETLING (M.D.)
250 E Ponce De Leon Ave Ste 100
Decatur, GA 300303406
Phone: (404) 377-9171
Type: Location
5246 Snapfinger Park Dr
Decatur, GA 300354044
Phone: (678) 533-6120
Type: Location
2416 DUNN AVENUE
JACKSONVILLE, FL 322181015
Phone: (904) 353-3664
Fax: (904) 353-3858
Type: Location
PO BOX 3129
AUGUSTA, GA 309143129
Phone: (706) 737-4575
Fax: (706) 731-5289
Type: Mailing
1125, Troupe Street, King Estates, Augusta, Richmond County, Georgia, 30904, United States
P.O. BOX 3129
AUGUSTA, GA 309143129
Phone: (706) 737-4575
Fax: (706) 731-5289
Type: Mailing
630, 13th Street, Augusta, Richmond County, Georgia, 30901, United States
SUITE 250
AUGUSTA, GA 309011015
Phone: (706) 774-5000
Fax: (706) 823-5928
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($27).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $27 |
| CARDIVA MEDICAL, INC. | $24 |
| LeMaitre Vascular, Inc. | $15 |
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: 2024-03-28
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 |
|---|---|---|---|---|
| I20080416000333 | I | Diagnostic Radiology | GA | TBD |
| I20211021001452 | I | Interventional Radiology | FL | TBD |
| I20240328000371 | I | Interventional Radiology | SC | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,294 | 14 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 83 | 81 | $0 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 45 | 44 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 37 | 24 | $0 |
| 36907 | Balloon dilation of dialysis segment with review by radiologist | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30030)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | GA |
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