SAMUEL MCBRIDE (PA-C) – Physician Assistant, NPI 1962090142

SAMUEL MCBRIDE (PA-C) is a healthcare provider. based in Parker, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0006783 (CO). The NPI Number for SAMUEL MCBRIDE (PA-C) is 1962090142

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL MCBRIDE (PA-C)
NPI
1962090142
Phone
(303) 649-3790
Address
11960 Lioness Way Ste 190
Enumeration Date
4 January 2021
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197764780
Graduation Year
2021 (5 years ago)
PAC ID
4082014576
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20210622000111
Address ID
CO808635008WO41XXX67XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for SAMUEL MCBRIDE (PA-C)

  • 11960 Lioness Way Ste 190

    Parker, CO 801345640

    Phone: (303) 649-3790

    Fax: (303) 649-3791

    Type: Location

  • 660 GOLDEN RIDGE RD STE 250

    GOLDEN, CO 804019541

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2021-06-22

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
I20210622000111IPhysician AssistantCOTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg18426$0
99213Established patient office or other outpatient visit, 20-29 minutes7058$0
73030X-ray of shoulder, minimum of 2 views5747$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
20610Aspiration and/or injection of fluid from large joint3931$0
View full utilization report →

Insurance plans in this area (ZIP 80134)

Loading plans...

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: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is SAMUEL MCBRIDE (PA-C)'s NPI number?
SAMUEL MCBRIDE (PA-C)'s NPI is 1962090142 — the number used across U.S. healthcare to identify this provider.
Is SAMUEL MCBRIDE (PA-C) still an active registrant?
SAMUEL MCBRIDE (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with SAMUEL MCBRIDE (PA-C)?
SAMUEL MCBRIDE (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SAMUEL MCBRIDE (PA-C) located near Parker?
SAMUEL MCBRIDE (PA-C) currently maps to Parker, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

9949 S Oswego St Ste 300
NPI: 1669463055
3550 Lutheran Pkwy West
NPI: 1134186687

STEFANIE L GIACHINO (PA-C)

Physician Assistant
10350 E DAKOTA AVE
NPI: 1407960495

SUSAN K. GOLDEN (PA-C)

Physician Assistant
Porter Adventist Hospital, 2525, South Downing Street, Denver, Arapahoe County, Colorado, 80210, United States
NPI: 1144334350

KETTIE D MEYER (PA)

Physician Assistant
Parker Square Family Practice & Urgent Care, 19641, East Parker Square Drive, Parker Square, Parker, Douglas County, Colorado, 80134, United States
NPI: 1922199975

MR. DAVID M. GRAVES (PA-C)

Physician Assistant
9060 E. VIA LINDA DR
NPI: 1598855991

LEA LOUISE GATTONI (PA-C)

Physician Assistant
Sierra Medical Building, 9399, Crown Crest Boulevard, Parker, Douglas County, Colorado, 80138, United States
NPI: 1720156755

JANELL RAE MONFORTON (PA)

Medical Physician Assistant
19641 E PARKER SQUARE DR STE A
NPI: 1427118231

DOTTIE L STEINHOFF (PA)

Medical Physician Assistant
Gibson Medical Center, 5400, Gibson Boulevard Southeast, Albuquerque, Bernalillo County, New Mexico, 87108, United States
NPI: 1407919475