SAMUEL HENRY SMITH (M.D.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1073967949

SAMUEL HENRY SMITH (M.D.) is a healthcare provider. based in Cordova, Tennessee. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 63193 (TN). The NPI Number for SAMUEL HENRY SMITH (M.D.) is 1073967949

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL HENRY SMITH (M.D.)
NPI
1073967949
Phone
(844) 837-2433
Address
8138 Country Village Dr
Enumeration Date
18 April 2016
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9017373021
Graduation Year
2016 (10 years ago)
PAC ID
2062701188
Group Practice PAC ID
5193610228
Professional Enrollment ID
I20231115000260
Address ID
TN381381747GE7675XCIRX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

288 OTOLARYNGOLOGY in TN

Provider Addresses for SAMUEL HENRY SMITH (M.D.)

  • 8138 Country Village Dr

    Cordova, TN 380162029

    Phone: (844) 837-2433

    Type: Location

  • 7675 Wolf River Cir Ste 202

    Germantown, TN 381381747

    Phone: (901) 737-3021

    Type: Location

  • 8040 Wolf River Blvd Ste 103

    Germantown, TN 381381773

    Phone: (901) 725-8606

    Type: Location

  • 2100 Exeter Rd

    Germantown, TN 381383966

    Phone: (901) 757-1350

    Type: Location

  • 7545 DEERFIELD RD NW

    ALBUQUERQUE, NM 871204533

    Phone: (575) 649-3744

    Type: Mailing

  • UNIVERSUTY OF TENNESSEE

    920 MADISON AVENUE SUITE 447

    MEMPHIS, TN 381630001

    Phone: (901) 448-5885

    Type: Location

  • 1068 CRESTHAVEN RD

    STE 250

    MEMPHIS, TN 381190809

    Phone: (901) 866-8384

    Type: Mailing

  • 1068 CRESTHAVEN RD STE 300

    MEMPHIS, TN 381190809

    Phone: (901) 866-8864

    Type: Mailing

  • UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447

    MEMPHIS, TN 381630001

    Phone: (901) 448-5885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $793.

Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Cochlear Americas ($424).

Total Amount

$793

General + Research + Ownership

Payments

14

Total payment records

General Amount

$793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2023-11-15

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
I20231115000260IOtolaryngologyTNTBD

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 minutes4437$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
69210Removal of impacted ear wax3327$0
99214Established patient office or other outpatient visit, 30-39 minutes2421$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 38016)

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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: 5193610228View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineNY
H E M A T O L O G Y/ O N C O L O G YTN
Family PracticeMS
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerMS
Internal MedicineAR
Internal MedicineGA
Nurse PractitionerTN
Internal MedicineTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAMUEL HENRY SMITH (M.D.)?
SAMUEL HENRY SMITH (M.D.) — NPI 1073967949 — is the standard way to identify this listing.
Is SAMUEL HENRY SMITH (M.D.) still practicing?
SAMUEL HENRY SMITH (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes SAMUEL HENRY SMITH (M.D.)?
For research purposes, treat SAMUEL HENRY SMITH (M.D.) as Plastic Surgery within the Head & Neck (Otolaryngology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SAMUEL HENRY SMITH (M.D.) list a practice location?
Patients near Cordova, Tennessee may find SAMUEL HENRY SMITH (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
9 practice locations appear in the available data.

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