SAMUEL WALTON FAIRBROTHER – Diagnostic Radiology Physician, NPI 1346530284
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 DIAGNOSTIC RADIOLOGY in TN
Provider Addresses for SAMUEL WALTON FAIRBROTHER
210 25TH AVE N STE 602
NASHVILLE, TN 372031631
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Mailing
210 25TH AVE N STE 1204
NASHVILLE, TN 372031620
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Mailing
2018 Murphy Ave Ste 200
Nashville, TN 372031929
Phone: (615) 320-7387
Type: Location
4488 Carothers Pkwy Ste 110
Franklin, TN 370676584
Phone: (615) 721-0935
Type: Location
103 Physicians Way Ste 100
Lebanon, TN 370904129
Phone: (615) 443-7436
Type: Location
52 White Bridge Pike
Nashville, TN 372051411
Phone: (615) 354-1255
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-08-11 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $19 |
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: 2024-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180912001041 | I | Diagnostic Radiology | KY | TBD |
| I20180917000574 | I | Diagnostic Radiology | TN | TBD |
| I20240108000964 | I | Diagnostic Radiology | MS | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 21,225 | 194 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 4,360 | 56 | $0 |
| 71260 | Ct scan of chest with contrast | 1,133 | 896 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 968 | 771 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 379 | 359 | $0 |
Insurance plans in this area (ZIP 37203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MS | |
| - | MS | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology, Diagnostic Radiology | AL | |
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | MS | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MS |
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