SAMANTHA ANNE EASTERLY (DO) – Family Medicine Physician, NPI 1003473380
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,259 FAMILY PRACTICE in AZ
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Provider Addresses for SAMANTHA ANNE EASTERLY (DO)
East Hampton Avenue, Mesa, Maricopa County, Arizona, 85206, United States
MESA, AZ 852093321
Phone: (480) 834-7546
Type: Mailing
PO BOX 1387
HAYDEN, ID 838351387
Phone: (208) 415-0299
Type: Mailing
1090 W PARK PL
COEUR D ALENE, ID 838142785
Phone: (208) 620-5250
Fax: (844) 807-3782
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230120000656 | I | Family Practice | OR | TBD |
| I20250514002613 | I | Family Practice | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 96 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 211 | 105 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 105 | 81 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 86 | 65 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 86 | 86 | $0 |
Insurance plans in this area (ZIP 85209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Family Practice | VA | |
| Physician Assistant | OR | |
| General Surgery | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Diagnostic Radiology | OR | |
| - | OR | |
| - | OR |
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