DR. SAMUEL OTTERSON IV JONES (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1578632550

DR. SAMUEL OTTERSON IV JONES (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 21364 (AL). The NPI Number for DR. SAMUEL OTTERSON IV JONES (MD) is 1578632550

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL OTTERSON IV JONES (MD)
NPI
1578632550
Phone
(423) 697-2000
Address
2501 CITICO AVE
Enumeration Date
6 November 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4234952525
Graduation Year
1996 (30 years ago)
PAC ID
0345305488
Group Practice PAC ID
8628978210
Professional Enrollment ID
I20170719004056
Address ID
TN374041161CH2525XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

91 CARDIAC ELECTROPHYSIOLOGY in TN

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Provider Addresses for DR. SAMUEL OTTERSON IV JONES (MD)

  • Citico Avenue, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37406, United States

    CHATTANOOGA, TN 374041127

    Phone: (423) 697-2000

    Fax: (423) 697-2118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,031.

Total Amount is formed as General ($1,031) + Research ($0) + Ownership ($0) = $1,031.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Medtronic, Inc. ($473).

Total Amount

$1,031

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,031

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

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: 2017-07-19

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
I20170719004056ICardiac ElectrophysiologyTNTBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days787350$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days564256$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report479361$0
99214Established patient office or other outpatient visit, 30-39 minutes453342$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec29467$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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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: 8628978210View full group profile
NameSpecialtyState
-TN
Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Cardiovascular Disease (Cardiology)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology)CT
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryGA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTN

Reviews

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Frequently asked questions

Does DR. SAMUEL OTTERSON IV JONES (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SAMUEL OTTERSON IV JONES (MD) uses 1578632550.
Is DR. SAMUEL OTTERSON IV JONES (MD) still practicing?
DR. SAMUEL OTTERSON IV JONES (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. SAMUEL OTTERSON IV JONES (MD) hold?
Scheduling teams often label DR. SAMUEL OTTERSON IV JONES (MD) under Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SAMUEL OTTERSON IV JONES (MD) based?
DR. SAMUEL OTTERSON IV JONES (MD) is tied to Chattanooga, Tennessee in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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