DR. SAMUEL GRAY MCCLATCHY (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1356796684

DR. SAMUEL GRAY MCCLATCHY (M.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 28373 (MS). The NPI Number for DR. SAMUEL GRAY MCCLATCHY (M.D.) is 1356796684

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL GRAY MCCLATCHY (M.D.)
NPI
1356796684
Phone
(901) 759-3275
Address
920 MADISON AVE STE 447
Enumeration Date
23 April 2016
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4795212752
Graduation Year
2016 (10 years ago)
PAC ID
8527358910
Group Practice PAC ID
2860477189
Professional Enrollment ID
I20220729002022
Address ID
AR727034056FA3317XDRXX400

Contacts

Secure Messaging
samuel.mcclatchy.1@18403.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

161 SPORTS MEDICINE in TN

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Provider Addresses for DR. SAMUEL GRAY MCCLATCHY (M.D.)

  • Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States

    MEMPHIS, TN 381033438

    Phone: (901) 759-3275

    Type: Location

  • 9341, Forest Hill Lane, Germantown, Shelby County, Tennessee, 38139, United States

    GERMANTOWN, TN 381397909

    Phone: (901) 409-4409

    Type: Mailing

  • 3317 N WIMBERLY DR

    FAYETTEVILLE, AR 727034056

    Phone: (479) 521-2752

    Fax: (479) 521-4603

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,997.

Total Amount is formed as General ($1,997) + Research ($0) + Ownership ($0) = $1,997.

Last reported payment date: 2024-03-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,762).

Total Amount

$1,997

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,997

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-01

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: 2022-07-29

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
I20220729002022ISports MedicineARTBD

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 minutes202119$0
73030X-ray of shoulder, minimum of 2 views156107$0
99203New patient office or other outpatient visit, 30-44 minutes100100$0
J1040Injection, methylprednisolone acetate, 80 mg9168$0
20610Aspiration and/or injection of fluid from large joint8970$0
View full utilization report →

Insurance plans in this area (ZIP 38103)

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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: 2860477189View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryAR
Orthopedic SurgeryAR
Orthopedic SurgeryAR
Physical Therapist In Private PracticeAR
Physician AssistantAR
Occupational Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
-AR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR

Reviews

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Frequently asked questions

What federal number belongs to DR. SAMUEL GRAY MCCLATCHY (M.D.)?
The federal identifier for DR. SAMUEL GRAY MCCLATCHY (M.D.) is NPI 1356796684.
Is DR. SAMUEL GRAY MCCLATCHY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SAMUEL GRAY MCCLATCHY (M.D.) as an active registrant.
What field does DR. SAMUEL GRAY MCCLATCHY (M.D.) work in?
You can think of DR. SAMUEL GRAY MCCLATCHY (M.D.) as practicing within Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SAMUEL GRAY MCCLATCHY (M.D.)'s primary listing?
We display Memphis, Tennessee because that is what the record indicates for DR. SAMUEL GRAY MCCLATCHY (M.D.).
Is DR. SAMUEL GRAY MCCLATCHY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1356796684. Always confirm identity and privileges with the practice and licensing boards.

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