DR. SAMUEL ALAN AMEN (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1831300995
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
114 ADDICTION MEDICINE in FL
Provider Addresses for DR. SAMUEL ALAN AMEN (M.D.)
DEPT 22429
PO BOX 21052
TULSA, OK 74121
Phone: (918) 935-3240
Fax: (918) 935-3241
Type: Mailing
1370 E Venice Ave Ste 104
Venice, FL 342859083
Phone: (941) 708-9555
Fax: (941) 708-5465
Type: Location
2811 E 15th St Ste 102
Tulsa, OK 741045242
Phone: (918) 935-3240
Fax: (918) 935-3241
Type: Location
6048A S Sheridan Rd
Tulsa, OK 74145
Phone: (918) 935-3240
Fax: (918) 935-3241
Type: Location
2540 S Tamiami Trl
Sarasota, FL 342394501
Phone: (941) 708-9555
Fax: (941) 708-5465
Type: Location
East 15th Street, Wedgewood, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 741045242
Phone: (918) 935-3240
Fax: (918) 935-3241
Type: Location
100 3RD AVE W STE 110
BRADENTON, FL 342058641
Phone: (941) 708-9555
Fax: (941) 708-5465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $296.
Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($166).
Total Amount
$296
General + Research + Ownership
Payments
13
Total payment records
General Amount
$296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-11-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191104002537 | I | Addiction Medicine | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 616 | 261 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 140 | 107 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 74121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | NY | |
| Nurse Practitioner | MI | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| Internal Medicine, Geriatric Medicine | NC | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | NC | |
| Internal Medicine | NC | |
| Internal Medicine | NC |
Reviews
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