SAMUEL V LEWIS M.D.
NPI 1386649119
Obstetrics & Gynecology in Johnson City, TN

NPI Status: Active since June 17, 2005

Contact Information

301 MED TECH PKWY
STE 200
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-1300
Fax: (423) 794-1820

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  • Individual
  • Male
  • Years of Experience 43
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About SAMUEL LEWIS

This page provides the complete NPI Profile along with additional information for Samuel Lewis, a women's health care provider established in Johnson City, Tennessee with a medical specialization in Obstetrics & Gynecology and more than 43 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1983. The healthcare provider is registered in the NPI registry with number 1386649119 assigned on June 2005. The practitioner's primary taxonomy code is 207V00000X with license number 5904 (TN). The provider is registered as an individual and his NPI record was last updated February 2025.

NPI
1386649119
Provider Name
SAMUEL V LEWIS M.D.
Gender
Male
Entity Type
Individual
Location Address
301 MED TECH PKWY STE 200 JOHNSON CITY, TN 37604
Location Phone
(423) 794-1300
Location Fax
(423) 794-1820
Mailing Address
PO BOX 632476 CINCINNATI, OH 45263
Mailing Phone
(423) 794-1300
Mailing Fax
(423) 794-1820
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
1983
Is Sole Proprietor?
No
Enumeration Date
06-17-2005
Last Update Date
02-19-2025
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Women's health care providers like Samuel Lewis treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
5904
License State
TN
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

15904 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3032878MEDICAID (05)TN 
3032875MEDICAID (05)TN 

Medicare Participation & PECOS Enrollment Status

Samuel Lewis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3476532110

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040716000373

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 17 times for 17 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 161 times for 161 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 16 times for 15 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 110 times for 79 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 12 times for 11 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 17 times for 17 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 153 times for 153 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

This service was performed 31 times for 28 patients

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 23 times for 22 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samuel Lewis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNSON CITY MEDICAL CENTER400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 431-6111Acute Care Hospitals
FRANKLIN WOODS COMMUNITY HOSPITAL300 MED TECH PARKWAY
JOHNSON CITY, TN 37604
(423) 302-1120Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386649119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661241812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 2 + 4 + 1 + 8 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1386649119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417952656 DAVID P ROE M.D.
Individual
Obstetrics & Gynecology301 MED TECH PKWY
JOHNSON CITY, TN 37604
(423) 794-5500
1063417194 BRIAN H DUNKELBERGER M.D.
Individual
Obstetrics & Gynecology301 MED TECH PKWY STE. 200
JOHNSON CITY, TN 37604
(423) 794-1300
1740285881 WILLIAM A BRIDGFORTH M.D.
Individual
Pediatrics301 MED TECH PKWY STE. 180
JOHNSON CITY, TN 37604
(423) 794-5540
1992700041 BOYCE M BERRY M.D.
Individual
Pediatrics301 MED TECH PKWY SUITE 180
JOHNSON CITY, TN 37604
(423) 794-5540
1366440307DR. SHOKO HANSEN M.D.
Individual
Internal Medicine301 MED TECH PKWY STE. 240
JOHNSON CITY, TN 37604
(423) 794-5520
1851392153 LINDSAY MESSINGER M.D.
Individual
Radiology (Diagnostic Radiology)301 MED TECH PKWY STE 100
JOHNSON CITY, TN 37604
(423) 794-5580
1093041865 MIRANDA G WORLEY PA-C
Individual
Physician Assistant (Medical)301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
(423) 794-5520
1487983003MOUNTAIN STATES HEALTH ALLIANCE
Organization
Clinic/Center (Radiology)301 MED TECH PKWY SUITE 100
JOHNSON CITY, TN 37604
(423) 610-6226
1417952250 MARK L DONOVAN M.D.
Individual
Pediatrics301 MED TECH PKWY STE. 160
JOHNSON CITY, TN 37604
(423) 794-5560
1730184524 TEDFORD TAYLOR M.D.
Individual
Pediatrics301 MED TECH PKWY STE 160
JOHNSON CITY, TN 37604
(423) 794-5560
1073960381 ERIN MCPHERSON
Individual
Registered Nurse (Lactation Consultant)301 MED TECH PKWY SUITE 160
JOHNSON CITY, TN 37604
(423) 794-5560
1508021718 UNNATI M KIRAN MD
Individual
Internal Medicine301 MED TECH PKWY SUITE 240
JOHNSON CITY, TN 37604
(423) 794-5520
1477558690 JILL R TALLEY-HORNE M.D.
Individual
Obstetrics & Gynecology301 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604
(423) 794-1300
1376548511 JAMES M PEARSON M.D.
Individual
Pediatrics301 MED TECH PKWY STE 160
JOHNSON CITY, TN 37604
(423) 794-5560
1578582607MRS. AMY BROCK FLEMING APN
Individual
Nurse Practitioner301 MED TECH PKWY SUITE 280
JOHNSON CITY, TN 37604
(423) 794-5550
1104821347 MARCIA M SENTELL M.D.
Individual
Obstetrics & Gynecology301 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604
(423) 794-1300
1023466786 TRACY ROMANS NP
Individual
Nurse Practitioner (Family)301 MED TECH PKWY SUITE 240
JOHNSON CITY, TN 37604
(423) 794-5888
1033114988 MARK A WILLIAMS MD
Individual
Internal Medicine301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
(423) 794-5520
1629073846 KEVIN D SWEET MD
Individual
Internal Medicine301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
(423) 794-5520
1003872623 SHELLY J MCINTOSH FNP
Individual
Nurse Practitioner (Family)301 MED TECH PKWY SUITE 240
JOHNSON CITY, TN 37604
(423) 794-5520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386649119, enumerated in the NPI registry as an "individual" on June 17, 2005

The provider is located at 301 Med Tech Pkwy Ste 200 Johnson City, Tn 37604 and the phone number is (423) 794-1300

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 43 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1983.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Blood test, comprehensive group of blood chemicals, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes, Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory, Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina and Urinalysis, manual test.

The practitioner is affiliated to the following hospital(s): JOHNSON CITY MEDICAL CENTER and FRANKLIN WOODS COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.