SAMANTHA DUVALL (PA-C) – Physician Assistant, NPI 1104526573

SAMANTHA DUVALL (PA-C) is a healthcare provider. based in Jonesboro, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1158 (AR). The NPI Number for SAMANTHA DUVALL (PA-C) is 1104526573

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA DUVALL (PA-C)
NPI
1104526573
Phone
(870) 932-1820
Address
1416 E Matthews Ave Ste 200
Enumeration Date
6 March 2023
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8709321820
Graduation Year
2022 (4 years ago)
PAC ID
5597120469
Group Practice PAC ID
9335114941
Professional Enrollment ID
I20230427002199
Address ID
AR724014362JO1010XSTXX400

Contacts

Secure Messaging
providers@jonesboroortho.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

629 PHYSICIAN ASSISTANT in AR

Provider Addresses for SAMANTHA DUVALL (PA-C)

  • 1416 E Matthews Ave Ste 200

    Jonesboro, AR 724014362

    Phone: (870) 932-1820

    Type: Location

  • PO BOX 1533

    JONESBORO, AR 724031533

    Phone: (870) 932-1820

    Type: Mailing

  • 1010 S MAIN ST

    JONESBORO, AR 724013503

    Phone: (870) 932-1820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Orthofix Medical, Inc. ($21).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2023-04-27

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
I20230427002199IPhysician AssistantARTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3731$0
27447Replacement of knee joint, both sides of knee2827$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes1916$0
99212Established patient office or other outpatient visit, 10-19 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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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: 9335114941View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Orthopedic SurgeryAR
Nurse PractitionerAR
Physician AssistantAR
Family PracticeAR
Orthopedic SurgeryAR
Physician AssistantAR
Physician AssistantAR
Family PracticeAR
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

How is SAMANTHA DUVALL (PA-C) identified in CMS data?
CMS-hosted NPPES data lists SAMANTHA DUVALL (PA-C) with NPI 1104526573.
Does the file indicate SAMANTHA DUVALL (PA-C) is practicing under active NPI?
Directory data currently reports SAMANTHA DUVALL (PA-C) as active.
What healthcare role does SAMANTHA DUVALL (PA-C) hold?
Scheduling teams often label SAMANTHA DUVALL (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for SAMANTHA DUVALL (PA-C)?
SAMANTHA DUVALL (PA-C)'s geographic hint is Jonesboro, Arkansas in our summary view.
Is the information about SAMANTHA DUVALL (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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