Samuel W. Vallery, MD, PA
2212 Malvern Ave., Suite 8
Hot Springs, AR 71901
(501) 609-2300



Dear Patient:

As your ENT physician, I greatly value the trust you have placed in me, and I am dedicated to honoring that trust by providing you and all my Medicare patients with the high quality care and personal attention you deserve.

However, for the past several years, while the overhead costs of running my practice have steadily increased, the hassles and never ending increasing requirements for Medicare reimbursement for services provided have become progressively more onerous. Making matters worse, Medicare payment rates were recently cut another 2%, due to the “sequester”.  In addition, $716 billion is being cut from Medicare, to help fund Obamacare.

While I would like to continue to accept your Medicare insurance, effective October 1, 2013, my practice will no longer be associated with the Medicare physician payment program.

According to Medicare rules, effective, October 1, 2013, after I have opted out of Medicare, I can no longer file any claims with Medicare for a period of two full years, and neither can any of my patients. As a Medicare patient you will need to pay my office in full at the time of services, and you will not be able to claim any reimbursement from Medicare for my services.  I will be asking my Medicare patients to sign a private contract with my office that will outline these new charge practices, as well as my patients’ rights and responsibilities.

Patients also have the option to seek care from a physician participating in Medicare. Should you choose that route, my office will be happy to provide copies of your records.

I deeply regret any trouble this change may cause you, but it could not be avoided. While my policies have changed, my commitment to you remains the same.


Samuel W. Vallery, MD

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(501) 609-2300
2212 Malvern Avenue, Suite 8
Hot Springs, AR 71901