DR. SAMUEL BYRON MCWILLIAMS MD
NPI 1710244116
Pediatrics in Lebanon, NH
Quality Rating: 69.43 out of 100 score
NPI Status: Active since April 23, 2012
Contact Information
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 653-9663
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About SAMUEL MCWILLIAMS
This page provides the complete NPI Profile along with additional information for Samuel Mcwilliams, a pediatrician established in Lebanon, New Hampshire with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1710244116 assigned on April 2012. The practitioner's primary taxonomy code is 208000000X with license number 19144 (NH). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1710244116
- Provider Name
- DR. SAMUEL BYRON MCWILLIAMS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 MEDICAL CENTER DR LEBANON, NH 03756
- Location Phone
- (603) 653-9663
- Mailing Address
- 1 MEDICAL CENTER DR LEBANON, NH 03756
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-23-2012
- Last Update Date
- 03-07-2023
- Code Navigator
A pediatrician like Samuel Mcwilliams is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 79 S. Windsor St.
South Royalton, VT 05068
(802) 763-7575
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19144
- License State
- NH
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 042.0013145 (VT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
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 |
|---|---|---|---|
| 13563460 | OTHER (01) | VT | CAQH |
| 1025519 | MEDICAID (05) | VT |
Medicare Participation & PECOS Enrollment Status
Samuel Mcwilliams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 03756 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.14
- Minimum New Patient Price $57.75
- Maximum New Patient Price $174.26
- Average New Patient Copayment $22.28
- Minimum New Patient Copayment $14.43
- Maximum New Patient Copayment $43.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $101.54
- Minimum Established Patient Price $18.7
- Maximum Established Patient Price $142.15
- Average Established Patient Copayment $25.38
- Minimum Established Patient Copayment $4.67
- Maximum Established Patient Copayment $35.53
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 69.43, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 69.43 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 53.63
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 44.48
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 44.48
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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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. | |||||||||
| 1 | 7 | 1 | 0 | 2 | 4 | 4 | 1 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 4 | 4 | 8 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 4 + 4 + 8 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710244116 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1215930052 | MR. BRIAN PATRICK BIRNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 650-5922 |
| 1265437602 | DR. JEFFREY K LOW PHARMD Individual | Pharmacist | 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 650-7615 |
| 1255339636 | STEPHEN B HOLDERMAN APRN Individual | Nurse Practitioner (Adult Health) | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF CARDIOLOGY LEBANON, NH 03756 (603) 650-7837 |
| 1508866716 | DR. BERT L. FICHMAN MD Individual | Anesthesiology (Pain Medicine) | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF PAIN MEDICINE LEBANON, NH 03756 (603) 650-6040 |
| 1326040916 | ALYSSA GIRARD PA Individual | Physician Assistant (Surgical) | 1 MEDICAL CENTER DR DHMC - ORTHOPAEDICS LEBANON, NH 03756 (603) 650-5133 |
| 1992799951 | OSCAR KEITH GIBBS PA-C Individual | Physician Assistant | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY LEBANON, NH 03756 (603) 650-8494 |
| 1962498592 | TIMOTHY J QUILL MD Individual | Anesthesiology | 1 MEDICAL CENTER DR DHMC - DEPT OF CRITICAL CARE LEBANON, NH 03756 (603) 650-4642 |
| 1346238250 | LINDA A SPECHT MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1 MEDICAL CENTER DR DHMC - CHILD DEVELOPMENT LEBANON, NH 03756 (603) 653-9668 |
| 1275522781 | DR. ANN BIRNER PHARM D Individual | Pharmacist | 1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER LEBANON, NH 03756 (603) 650-7362 |
| 1316937865 | DANIELLE BASTA APRN Individual | Nurse Practitioner (Family) | 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 650-8630 |
| 1225028574 | DR. CHERI COLETTE MATHER M.D. Individual | Internal Medicine | 1 MEDICAL CENTER DR DHMC - DEPARTMENT OF MEDICINE LEBANON, NH 03756 (603) 650-1070 |
| 1083605117 | DR. DAVID H STONE MD Individual | Surgery (Vascular Surgery) | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF SURGERY LEBANON, NH 03756 (603) 650-4682 |
| 1720061153 | ADAM R WEINSTEIN MD Individual | Pediatrics (Pediatric Nephrology) | 1 MEDICAL CENTER DR DHMC--DEPT OF PEDIATRICS LEBANON, NH 03756 (603) 653-9884 |
| 1467435479 | MISS LINDSAY ELIZABETH BROOKS PHARMD, BS Individual | Pharmacist | 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 650-4426 |
| 1366426546 | DR. JACK VAN HOFF MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1 MEDICAL CENTER DR DHMC DEPT OF PEDIATRICS LEBANON, NH 03756 (603) 650-5541 |
| 1073597100 | DR. LANCE WARHOLD M.D. Individual | Orthopaedic Surgery | 1 MEDICAL CENTER DR DHMC ORTHOPAEDICS LEBANON, NH 03756 (603) 650-8494 |
| 1346227956 | JAMES L CARROLL JR. MD Individual | Internal Medicine (Pulmonary Disease) | 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 650-5533 |
| 1417934845 | COREY BURCHMAN MD Individual | Anesthesiology (Pain Medicine) | 1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER LEBANON, NH 03756 (603) 650-5000 |
| 1316924624 | NICOLE M ORZECHOWSKI D.O. Individual | Internal Medicine (Rheumatology) | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF RHEUMATOLOGY LEBANON, NH 03756 (603) 650-8622 |
| 1417937038 | ALIX ASHARE MD Individual | Internal Medicine (Pulmonary Disease) | 1 MEDICAL CENTER DR DHMC DEPARTMENT OF MEDICINE LEBANON, NH 03756 (603) 650-5533 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710244116, enumerated in the NPI registry as an "individual" on April 23, 2012
The provider is located at 1 Medical Center Dr Lebanon, Nh 03756 and the phone number is (603) 653-9663
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $89.14 with an average copayment of $22.28 for new patient appointments. Established patients should expect a typical charge of $101.54 and an average copayment of 25.38. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 23, 2012. 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].
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