Samuel Wellington Copeland, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

Q9796 Issued in TX

Practice address

2705 Hospital Dr Ste 402
Victoria, TX 77901-5777

Phone

(361) 574-1780

Fax

(361) 574-1785

NPI assigned

Jun 14, 2012

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
• Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
• Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
• Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.37 of 100Reported as individual

Quality

60.15

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel-copeland@citizens.e-mdsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citizen's Medical Center County of Victoria

  dba Citizens Medical Professional

  • Multi-Specialty Clinic/Center
  • Victoria, TX
  • NPI 1205242088

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Dewitt Medical District

  dba Cuero Regional Hospital

  • Rural Acute Care Hospital
  • Cuero, TX
  • NPI 1437148020
  Care Compare affiliation
• Jackson County Hospital District

  dba Jackson HealthCare Center

  • Critical Access Hospital
  • Edna, TX
  • NPI 1124061882
  Care Compare affiliation
• Lavaca Hospital District

  dba Lavaca Medical Center

  • Critical Access Hospital
  • Hallettsville, TX
  • NPI 1992767511
  Care Compare affiliation
• Victoria of Texas LP

  dba Detar Healthcare System

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1851343909
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1063774198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR STE 402",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015777",
            "telephone_number": "361-574-1780",
            "fax_number": "361-574-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR STE 402",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015777",
            "telephone_number": "361-574-1780",
            "fax_number": "361-574-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "SAMUEL",
        "middle_name": "WELLINGTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9796",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q9796",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q9796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel-copeland@citizens.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "2705 Hospital Dr Ste 402",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779015777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ornisha De'Shaye Connor
• Rebecca Marie Constantino, P.A.-C.
• Kelle Cook, FNP
• Theodore Denver Coonrod, M.D.
• Rebecca Ware Copeland, PA-C
• Nancy Coppernoll, PHYSICIAN ASSISTANT
• Brooke Taylor Corley, OTR
• Ginger Gayle Corn, M.ED,, LPC, RPT
• Cornerstone Caregiving West LLC
• Corpus Christi MRI LTD (Coastal Imaging)

• Pulmonary Disease Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.