NPPES file of Aug 9, 2026

Samuel Andrew Polek, M.D.

Psychiatry Physician · Clarksville, TN

Samuel Andrew Polek, M.D. is a psychiatry physician with a practice address in Clarksville, Tennessee, and NPI 1790004646, issued on May 18, 2010. Check the license on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790004646
Name
Samuel Andrew Polek
Credential
M.D.
Primary taxonomy
Psychiatry Physician 2084P0800X
License number
MD.32824 AL
Self-reported in NPPES; status is on the state search
Practice location
128 N 2ND St Ste 202, Clarksville, TN 37040
Phone
(866) 219-2688
Enumerated
May 18, 2010
Record last updated
Oct 10, 2023
Fax
(423) 523-0994
Medicare enrollment
Enrolled (PECOS I20230531002981); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 128 N 2ND St Ste 202

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amanda Ellis, MPH. MSWMental Health Counselor1336795327
  2. Logan McKenzieMental Health Counselor1710599519
  3. Donna Ross, ED.SMental Health Counselor1245713007

Verify Samuel Andrew Polek in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical ExaminersCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

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97% fewer Medicare Part D claims than the average psychiatry physician in 2024

28 Medicare Part D claims for 12 beneficiaries, against an average of 1,000 among the 35,054 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Samuel Polek28
  2. Specialty average1,000

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.7
  2. Costout of 100 · 30%60.5
  3. Promoting interoperabilityout of 100 · 25%76.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Family Care Center LLCClarksville, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Samuel Andrew Polek among 731 psychiatry physician records in Tennessee

Samuel Andrew Polek, M.D. is one of 731 psychiatry physician records with a practice address in Tennessee. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 67% of them.

  • NPI issued2010 · 67% of these records are older, 29% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileYes · 45% of these records are
  • Graduated2009 · median 2003 among the 329 with a school on file
  • Record last updated2023 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatry Physician providers in Tennessee

There are 731 psychiatry physician records in Tennessee.

The 8 psychiatry physician records with the nearest ZIP codes

  1. Soureya AbboClarksville, TN 370401376361196
  2. John Cain, M.D.Clarksville, TN 370401619042470
  3. Kathryn Jalovec, MDClarksville, TN 370401083783096
  4. Daniel Javier, M.D.Clarksville, TN 370401760456313
  5. Michael McGhee, M.D.Clarksville, TN 370401750358552
  6. Elizabeth Pritchett, M.D.Clarksville, TN 370421528134574
  7. James Staudenmeier, M.D., MPHClarksville, TN 370421174514657
  8. Paschal Emelue, MDClarksville, TN 370431508420316

Common questions

What is Samuel Andrew Polek, M.D.'s NPI number?

Samuel Andrew Polek, M.D.'s National Provider Identifier (NPI) is 1790004646, issued on May 18, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Samuel Andrew Polek, M.D. located?

The NPPES record lists a practice address at 128 N 2ND St Ste 202, Clarksville, TN, 37040. Phone: (866) 219-2688. Providers update this record themselves, so call before visiting.

How can I verify Samuel Andrew Polek, M.D.'s license?

Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Samuel Andrew Polek, M.D. prescribe under Medicare Part D?

In 2024, Samuel Andrew Polek, M.D. had 28 Medicare Part D claims for 12 beneficiaries; the average among psychiatry physician prescribers was 1,000. Part D covers Medicare prescriptions only.

What is Samuel Andrew Polek, M.D.'s MIPS final score?

The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.