DR. SAM WILLIAM CAMPBELL (M.D.) – Emergency Medicine Physician, NPI 1205123890

DR. SAM WILLIAM CAMPBELL (M.D.) is a healthcare provider. based in Grand blanc, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301098804 (MI). The NPI Number for DR. SAM WILLIAM CAMPBELL (M.D.) is 1205123890

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAM WILLIAM CAMPBELL (M.D.)
NPI
1205123890
Phone
Not provided
Address
1 GENESYS PKWY
Enumeration Date
1 July 2011
Last Update Date
1 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2011 (15 years ago)
PAC ID
8123349867
Group Practice PAC ID
2769719236
Professional Enrollment ID
I20150615002232
Address ID
MI491202207NI31XXXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. SAM WILLIAM CAMPBELL (M.D.)

  • 1 GENESYS PKWY

    DEPARTMENT OF CME

    GRAND BLANC, MI 484398065

    Phone:

    Fax: (810) 606-5589

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($29).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-06-15

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
I20150615002232IEmergency MedicineMITBD

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 making150123$0
99284Emergency department visit with moderate level of medical decision making108105$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8572$0
99291Critical care, first 30-74 minutes4545$0
99283Emergency department visit with low level of medical decision making1817$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 2769719236View full group profile
NameSpecialtyState
Nurse PractitionerMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerOH
Emergency MedicineMI
-MI
Emergency MedicineOH
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SAM WILLIAM CAMPBELL (M.D.)'s NPI?
Yes. DR. SAM WILLIAM CAMPBELL (M.D.) is listed with NPI 1205123890 in the public NPI dataset.
Does the file indicate DR. SAM WILLIAM CAMPBELL (M.D.) is practicing under active NPI?
Directory data currently reports DR. SAM WILLIAM CAMPBELL (M.D.) as active.
What healthcare role does DR. SAM WILLIAM CAMPBELL (M.D.) hold?
Scheduling teams often label DR. SAM WILLIAM CAMPBELL (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. SAM WILLIAM CAMPBELL (M.D.) list a practice location?
Patients near Grand Blanc, Michigan may find DR. SAM WILLIAM CAMPBELL (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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