Samuel Mearl Medaris, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2020000124 Issued in MO

Practice address

501 W Pine St
Farmington, MO 63640-1439

Phone

(573) 756-8888

Fax

(573) 701-9547

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA, MO, IL4 enrollments

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 4

Specialty

Otolaryngology

Education

University of Missouri, Columbia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Hospital Perry 115 clinicians

Ste Genevieve County Memorial Hospital 74 clinicians

Ear Nose and Throat Consultants LLC 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Chester, IL, CCN 141338
• Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330
• Parkland Health Center Hospital, Farmington, MO, CCN 260163

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuelmedaris@mhccaremail.com

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

• Mercy Hospital Perry

  • Critical Access Hospital
  • Perryville, MO
  • NPI 1063117158

  MO

  Medicare reassignment Care Compare group NPD
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655

  MO

  Medicare reassignment Care Compare group NPD
• Ste Genevieve County Memorial Hospital

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1730238551

  MO

  Medicare reassignment Care Compare group NPD
• Ste Genevieve County Memorial Hospital

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1801817416

  MO

  Medicare reassignment Care Compare group NPD
• Ste Genevieve County Memorial Hospital

  • Surgery Physician
  • Ste Genevieve, MO
  • NPI 1619026580

  MO

  Medicare reassignment Care Compare group
• Ear Nose and Throat Consultants LLC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1578972659

  IA, NE

  Medicare reassignment Care Compare group
• Sound Health Services P.C.

  • Otolaryngology Physician
  • Saint Louis, MO
  • NPI 1811988611

  MO, Otolaryngology

  Medicare reassignment NPD
• Urology of St. Louis, Inc.

  • Specialist
  • Saint Louis, MO
  • NPI 1528017191

  MO

  Medicare reassignment NPD
• Memorial Hospital

  • Critical Access Hospital
  • Chester, IL
  • NPI 1851390132

  IL

  Medicare reassignment NPD
• Mercy Hospital Perry

  • Rural Health Clinic/Center
  • Perryville, MO
  • NPI 1336828565
  Care Compare group NPD
• Mercy Hospital Perry

  • Rural Health Clinic/Center
  • Perryville, MO
  • NPI 1639858855
  Care Compare group NPD
• Mercy Hospital Perry

  • Rural Health Clinic/Center
  • Perryville, MO
  • NPI 1215613880
  Care Compare group

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

• Mercy Hospital Perry

  • Critical Access Hospital
  • Perryville, MO
  • NPI 1063117158

  Hospital

  Care Compare affiliation
• Parkland Health Center

  • General Acute Care Hospital
  • Farmington, MO
  • NPI 1003824061

  Hospital

  Care Compare affiliation
• Parkland Health Center

  • Psychiatric Hospital Unit
  • Farmington, MO
  • NPI 1902814866

  Hospital

  Care Compare affiliation
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655

  Hospital

  Care Compare affiliation
• Memorial Hospital

  • Critical Access Hospital
  • Chester, IL
  • NPI 1851390132

  Hospital

  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543

  Hospital

  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1720159346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-729-0077",
            "fax_number": "314-729-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-756-8888",
            "fax_number": "573-701-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDARIS",
        "first_name": "SAMUEL",
        "middle_name": "MEARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "40298",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "23454",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2020000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa McKay
• William Russell McKenzie, FNP
• Paula Lynn McMillen
• Samantha R McNail, M.D.
• Linda Lee Sutton Meade, PH.D.
• Medical West Respiratory Services, LLC
• Medicine Specialists, Inc.
• Mark Medley, D.C.
• Meier Clinics of Missouri, Inc.
• Rebecca Emily Meister

• All providers in Farmington, MO
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.