DR. SAMUEL MEARL MEDARIS (M.D.) – Otolaryngology Physician, NPI 1720159346

DR. SAMUEL MEARL MEDARIS (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 40298 (IA). The NPI Number for DR. SAMUEL MEARL MEDARIS (M.D.) is 1720159346

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL MEARL MEDARIS (M.D.)
NPI
1720159346
Phone
(402) 778-5250
Address
2727 S 144TH ST STE 250
Enumeration Date
13 November 2006
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5738834455
Graduation Year
2003 (23 years ago)
PAC ID
5092861435
Group Practice PAC ID
3274432802
Professional Enrollment ID
I20210830002066
Address ID
MO636701456ST590XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

38 PLASTIC AND RECONSTRUCTIVE SURGERY in NE

Provider Addresses for DR. SAMUEL MEARL MEDARIS (M.D.)

  • 2727 S 144TH ST STE 250

    OMAHA, NE 681445236

    Phone: (402) 778-5250

    Fax: (402) 778-5216

    Type: Mailing

  • 1010 OLD DES PERES RD

    DES PERES, MO 631311865

    Phone: (314) 729-0077

    Fax: (314) 729-0101

    Type: Mailing

  • 501 W PINE ST

    FARMINGTON, MO 636401439

    Phone: (573) 756-8888

    Fax: (573) 701-9547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,259.

Total Amount is formed as General ($1,259) + Research ($0) + Ownership ($0) = $1,259.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AERIN MEDICAL INC. ($710).

Total Amount

$1,259

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2021-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20090925000428IOtolaryngologyNETBD
I20120614000217IOtolaryngologyIATBD
I20200123002871IOtolaryngologyMOTBD
I20210830002066IOtolaryngologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11290$0
99214Established patient office or other outpatient visit, 30-39 minutes8267$0
95117Professional service for multiple injections of allergen7232$0
99212Established patient office or other outpatient visit, 10-19 minutes4033$0
69210Removal of impacted ear wax3632$0
View full utilization report →

Insurance plans in this area (ZIP 68144)

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Provider's Procedures

DR. SAMUEL MEARL MEDARIS (M.D.) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYNE92567Eardrum testing using ear probe3735

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: 3274432802View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm), Nurse PractitionerMO
Internal MedicineMO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

How do payers reference DR. SAMUEL MEARL MEDARIS (M.D.)?
For DR. SAMUEL MEARL MEDARIS (M.D.), use NPI 1720159346 as the unique 10-digit identifier.
Would DR. SAMUEL MEARL MEDARIS (M.D.) appear as active to a payer?
You can treat DR. SAMUEL MEARL MEDARIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SAMUEL MEARL MEDARIS (M.D.)'s focus?
For DR. SAMUEL MEARL MEDARIS (M.D.), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is DR. SAMUEL MEARL MEDARIS (M.D.) registered?
Use Omaha, Nebraska as the headline location for DR. SAMUEL MEARL MEDARIS (M.D.) here.
Can I trust this NPI listing for DR. SAMUEL MEARL MEDARIS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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