DR. MACON SAMUEL BRADLEY (D.O.) – Emergency Medicine Physician, NPI 1851521744

DR. MACON SAMUEL BRADLEY (D.O.) is a healthcare provider. based in Russell springs, Kentucky. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 03294 (KY). The NPI Number for DR. MACON SAMUEL BRADLEY (D.O.) is 1851521744

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MACON SAMUEL BRADLEY (D.O.)
NPI
1851521744
Phone
(270) 866-4141
Address
P.O. BOX 1610
Enumeration Date
25 July 2009
Last Update Date
31 August 2017

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6067898531
Graduation Year
2008 (18 years ago)
PAC ID
5395979256
Group Practice PAC ID
3476858606
Professional Enrollment ID
I20131008000808
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MACON SAMUEL BRADLEY (D.O.)

  • P.O. BOX 1610

    DOWELL RD

    RUSSELL SPRINGS, KY 42642

    Phone: (270) 866-4141

    Type: Mailing

  • Russell County Hospital, 153, Dowell Road, Russell Springs, Russell County, Kentucky, 42642, United States

    RUSSELL SPRINGS, KY 426424579

    Phone: (270) 866-4141

    Type: Location

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: 2016-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131008000808IEmergency MedicineKYTBD
I20161011002443IEmergency MedicineTNTBD

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
99285Emergency department visit with high level of medical decision making196188$0
99284Emergency department visit with moderate level of medical decision making124121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5753$0
99283Emergency department visit with low level of medical decision making2222$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 42642)

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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: 3476858606View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MACON SAMUEL BRADLEY (D.O.)?
The registry entry for DR. MACON SAMUEL BRADLEY (D.O.) shows NPI 1851521744.
Does the public listing show DR. MACON SAMUEL BRADLEY (D.O.) as active?
DR. MACON SAMUEL BRADLEY (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MACON SAMUEL BRADLEY (D.O.)'s specialty?
The extract shows Emergency Medicine Physician for DR. MACON SAMUEL BRADLEY (D.O.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. MACON SAMUEL BRADLEY (D.O.) in Russell Springs, Kentucky?
For routing, start with Russell Springs, Kentucky for DR. MACON SAMUEL BRADLEY (D.O.), then verify phone and hours locally.
Can I export DR. MACON SAMUEL BRADLEY (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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