Samuel W Huddleston IV

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NPI Number Detailed Information

Provider Information:

Name:	Samuel W Huddleston IV
Gender:	M
Provider License Number If Given:	15029

NPI Information:

NPI:	1770508525
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/13/2006
Last Update Date:	3/7/2023
Reputation Report:

Provider Business Mailing Address:

Address:	2002 BROOKSIDE DRIVE STE 201 Kingsport, TN 37660
Phone Number:	4232457080
Fax Number:	4232457875

Provider Business Practice Location Address:

Address:	2002 BROOKSIDE DRIVE STE 201 Kingsport, TN 37660
Phone Number:	4232457080
Fax Number:	4232457875

Provider Taxonomy:

Primary:	2086S0122X
Secondary (if any):
State:	TN

Top Doctors in TN

About Samuel W Huddleston IV

Samuel W Huddleston IV( SAMUEL W HUDDLESTON IV) is A Surgery Physician in Kingsport, TN. The NPI Number for Samuel W Huddleston IV is 1770508525.

The current location address for Samuel W Huddleston IV is 2002 BROOKSIDE DRIVE STE 201 Kingsport, TN 37660 and the contact number is 4232457080 and fax number is 4232457875. The mailing address for Samuel W Huddleston IV is 2002 BROOKSIDE DRIVE STE 201 Kingsport, TN 37660- 4232457080 (mailing address contact number - 4232457080).

A surgeon who specializes in plastic and reconstructive surgery.

Provider Business Location on Map

FAQs:

What is the NPI Number for Samuel W Huddleston IV?

Answer: The NPI Number for Samuel W Huddleston IV is 1770508525

Where is Samuel W Huddleston IV located?

Answer: Samuel W Huddleston IV is located at 2002 BROOKSIDE DRIVE STE 201 Kingsport, TN 37660.

What is the specialty for Samuel W Huddleston IV?

Answer: The Specialty of Samuel W Huddleston IV is A Surgery Physician.

Are there any online reviews for Samuel W Huddleston IV?

Answer: Yes! Check It Now.

Are there any other health care providers in Kingsport, TN?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Samuel W Huddleston IV

Number of HCPCS	16
Number of Medicare Beneficiaries	26
Number of Services	59
Total Submitted Charge Amount	85760
Total Medicare Allowed Amount	17953.16
Total Medicare Payment Amount	13993.13
Total Medicare Standardized Payment Amount	15077.18
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	16
Number of Medicare Beneficiaries With Medical	26
Number of Medical Services	59
Total Medical Submitted Charge Amount	85760
Total Medical Medicare Allowed Amount	17953.16
Total Medical Medicare Payment Amount	13993.13
Total Medical Medicare Standardized Payment Amount	15077.18
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	13
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries	26
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0
Percent (%) of Beneficiaries Identified With Cancer	0.5
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.58
Percent (%) of Beneficiaries Identified With Hypertension	0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.1012

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Plastic and Reconstructive Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	60
Number of Standardized 30-Day Fills	62
Aggregate Cost Paid for All Claims	324.8
Number of Day's Supply for All Claims	413
Number of Medicare Beneficiaries	33
Number of Claims, Including Refills, for Beneficiaries Age 65+	38
Including Refills, for Beneficiaries Age 65+	40
Beneficiaries Age 65+	209.08
Number of Day's Supply for All Claims for Beneficaries Age 65+	292
Number of Medicare Beneficiaries Age 65+	19
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	59
Aggregate Cost Paid for Generic Drugs	292.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	49
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	270.39
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	11
Aggregate Cost Paid for Claims Filled by	54.41
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	21
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	96
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	39
by Low-Income Subsidy	228.8
Total Claims of Opioid Drugs, Including	32
Aggregate Cost Paid for Opioid Drugs	147.6
Opioid Claims	27
Opioid_Tot_Clms divided by the Tot_Clms	53.333333333
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	17
Aggregate Cost Paid for Antibiotic Drugs	105.08
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	64.333333333
Number of Beneficiaries Age Less Than 65	14
Number of Beneficiaries Age 65 to 74	16
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	33
Number of Male Beneficiaries	0
Number of Non-Hispanic White	33
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement
Average Hierarchical Condition Category	1.0793156566

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