SAMUEL CLAYTON TAYLOR (MD) – Family Medicine Physician, NPI 1134325988

SAMUEL CLAYTON TAYLOR (MD) is a healthcare provider. based in Des moines, Iowa. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 38547 (IA). The NPI Number for SAMUEL CLAYTON TAYLOR (MD) is 1134325988

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL CLAYTON TAYLOR (MD)
NPI
1134325988
Phone
(515) 282-5773
Address
1801 HICKMAN RD
Enumeration Date
26 June 2007
Last Update Date
10 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805314700
Graduation Year
2003 (23 years ago)
PAC ID
4688710759
Group Practice PAC ID
2769824937
Professional Enrollment ID
I20110322000195
Address ID
OK735059635LA5602XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for SAMUEL CLAYTON TAYLOR (MD)

  • Broadlawns Medical Center, 1801, Hickman Road, Mondamin Presidential, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503141548

    Phone: (515) 282-5773

    Fax: (515) 282-2332

    Type: Location

  • 4512, Tuscany Drive, Brookhaven, Norman, Cleveland County, Oklahoma, 73072, United States

    NORMAN, OK 730723455

    Phone: (405) 974-0728

    Fax: (800) 305-3233

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110322000195IFamily PracticeOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making10085$0
99282Emergency department visit with straightforward medical decision making3131$0
99284Emergency department visit with moderate level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 50314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769824937View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineKY
Emergency MedicineVA
Emergency MedicineOK
Family PracticeOK

Reviews

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Frequently asked questions

Does SAMUEL CLAYTON TAYLOR (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMUEL CLAYTON TAYLOR (MD) uses 1134325988.
Does CMS list SAMUEL CLAYTON TAYLOR (MD) as active?
Yes — SAMUEL CLAYTON TAYLOR (MD) is active in the NPI listing used on this page.
What healthcare role does SAMUEL CLAYTON TAYLOR (MD) hold?
Scheduling teams often label SAMUEL CLAYTON TAYLOR (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does SAMUEL CLAYTON TAYLOR (MD) serve?
SAMUEL CLAYTON TAYLOR (MD)'s listing highlights Des Moines, Iowa; more addresses can appear in NPPES.
Why does SAMUEL CLAYTON TAYLOR (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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