SAMANTHA CLARK ROSS (M.D.) – Family Medicine Physician, NPI 1700089893

SAMANTHA CLARK ROSS (M.D.) is a healthcare provider. based in Athens, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 29155 (AL). The NPI Number for SAMANTHA CLARK ROSS (M.D.) is 1700089893

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA CLARK ROSS (M.D.)
NPI
1700089893
Phone
(256) 262-6680
Address
1005 W MARKET ST
Enumeration Date
7 June 2007
Last Update Date
18 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2562169777
Graduation Year
2007 (19 years ago)
PAC ID
1658495908
Group Practice PAC ID
3577832542
Professional Enrollment ID
I20100824000591
Address ID
AL356112438AT902XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

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Provider Addresses for SAMANTHA CLARK ROSS (M.D.)

  • Market Street, Athens, Town of Athens, Greene County, New York, 12015, United States

    SUITE 7

    ATHENS, AL 356112454

    Phone: (256) 262-6680

    Fax: (256) 262-6765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $2,410.

Total Amount is formed as General ($2,410) + Research ($0) + Ownership ($0) = $2,410.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($728).

Total Amount

$2,410

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100824000591IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes240139$0
96372Injection of drug or substance under skin or into muscle16866$0
J0696Injection, ceftriaxone sodium, per 250 mg15632$0
99213Established patient office or other outpatient visit, 20-29 minutes151101$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit124124$0
View full utilization report →

Insurance plans in this area (ZIP 35611)

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Provider's Procedures

SAMANTHA CLARK ROSS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAL81002Urinalysis, manual test1413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577832542View full group profile
NameSpecialtyState
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is SAMANTHA CLARK ROSS (M.D.) listed with a National Provider Identifier?
Yes — SAMANTHA CLARK ROSS (M.D.) has NPI 1700089893 on file in the registry.
Is there an active status for SAMANTHA CLARK ROSS (M.D.)?
For scheduling context, SAMANTHA CLARK ROSS (M.D.) is shown as active in the registry.
How would a patient describe SAMANTHA CLARK ROSS (M.D.)'s focus?
For SAMANTHA CLARK ROSS (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA CLARK ROSS (M.D.)?
Travel planning: use Athens, Alabama as the reference point for SAMANTHA CLARK ROSS (M.D.), then confirm.
Does SAMANTHA CLARK ROSS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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