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Samuel B Pegram

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NPI Number Detailed Information

Provider Information:

Name: Samuel B Pegram
Gender: M
Provider License Number If Given: F9937

NPI Information:

NPI: 1528043130
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 12/7/2005
Last Update Date: 8/24/2021
Reputation Report:

Provider Business Mailing Address:

Address: 2000 S MAYS ST STE 201
Round Rock, TX 78664
Phone Number: 5122444272
Fax Number: 5122442895

Provider Business Practice Location Address:

Address: 3316 WILLIAMS DR STE 150
Georgetown, TX 78628
Phone Number: 5122444272
Fax Number: 5122442895

Provider Taxonomy:

Primary: 207RR0500X
Secondary (if any):
State: TX

Top Doctors in TX

 

About Samuel B Pegram

Samuel B Pegram ( SAMUEL B PEGRAM ) is An Internal Medicine Physician in Georgetown, TX. The NPI Number for Samuel B Pegram is 1528043130.
The current location address for Samuel B Pegram is 3316 WILLIAMS DR STE 150 Georgetown, TX 78628 and the contact number is 5122444272 and fax number is 5122442895. The mailing address for Samuel B Pegram is 2000 S MAYS ST STE 201 Round Rock, TX 78664- 5122444272 (mailing address contact number - 5122444272).
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider Business Location on Map

FAQs:

What is the NPI Number for Samuel B Pegram ?


Answer: The NPI Number for Samuel B Pegram is 1528043130

Where is Samuel B Pegram located?


Answer: Samuel B Pegram is located at 3316 WILLIAMS DR STE 150 Georgetown, TX 78628.

What is the specialty for Samuel B Pegram ?


Answer: The Specialty of Samuel B Pegram is An Internal Medicine Physician.

Are there any online reviews for Samuel B Pegram ?


Answer: Yes! Check It Now.

Are there any other health care providers in Georgetown, TX?


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 B Pegram

Number of HCPCS 58
Number of Medicare Beneficiaries 391
Number of Services 13543
Total Submitted Charge Amount 780166.35
Total Medicare Allowed Amount 251038.13
Total Medicare Payment Amount 197748.98
Total Medicare Standardized Payment Amount 199174.24
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 13
Number of Medicare Beneficiaries With Drug Services 106
Number of Drug Services 12470
Total Drug Submitted Charge Amount 460899
Total Drug Medicare Allowed Amount 136783.32
Total Drug Medicare Payment Amount 110335.29
Total Drug Medicare Standardized Payment Amount 108201.01
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 45
Number of Medicare Beneficiaries With Medical 390
Number of Medical Services 1073
Total Medical Submitted Charge Amount 319267.35
Total Medical Medicare Allowed Amount 114254.81
Total Medical Medicare Payment Amount 87413.69
Total Medical Medicare Standardized Payment Amount 90973.23
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65 124
Number of Beneficiaries Age 65 to 74 174
Number of Beneficiaries Age 75 to 84 80
Number of Beneficiaries Age Greater 84 13
Number of Female Beneficiaries 301
Number of Male Beneficiaries 90
Number of Non-Hispanic White Beneficiaries 288
Number of Black or African American Beneficiaries 37
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 55
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 69
Number of Beneficiaries With Medicare Only Entitlement 322
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.14
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.18
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.37
Percent (%) of Beneficiaries Identified With Diabetes 0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.17
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.379

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 Rheumatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2695
Number of Standardized 30-Day Fills 3468.8
Aggregate Cost Paid for All Claims 1596797.67
Number of Day's Supply for All Claims 99995
Number of Medicare Beneficiaries 556
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1479
Including Refills, for Beneficiaries Age 65+ 1965
Beneficiaries Age 65+ 440817.7
Number of Day's Supply for All Claims for Beneficaries Age 65+ 56733
Number of Medicare Beneficiaries Age 65+ 326
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 2407
Aggregate Cost Paid for Generic Drugs 69740.79
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 1704
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1134678.98
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 991
Aggregate Cost Paid for Claims Filled by 462118.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1141
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1144722.82
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1554
by Low-Income Subsidy 452074.85
Total Claims of Opioid Drugs, Including 13
Aggregate Cost Paid for Opioid Drugs 600.32
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.4823747681
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 15
Aggregate Cost Paid for Antibiotic Drugs 198.73
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 64.519784173
Number of Beneficiaries Age Less Than 65 230
Number of Beneficiaries Age 65 to 74 230
Number of Beneficiaries Age 75 to 84 77
Number of Female Beneficiaries 428
Number of Male Beneficiaries 128
Number of Non-Hispanic White 350
Number of Black or African American 84
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 108
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 380
Average Hierarchical Condition Category 1.679390189

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