SAMANTHA KALTENBACH (PA-C) – Student in an Organized Health Care Education/Training Program, NPI 1922629302
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for SAMANTHA KALTENBACH (PA-C)
3200 S UNIVERSITY DR
DAVIE, FL 333282018
Phone: (954) 262-1250
Type: Mailing
530 OCOEE COMMERCE PKWY
OCOEE, FL 347614219
Phone: (407) 846-7546
Type: Mailing
106 BOSTON AVE STE 100
ALTAMONTE SPRINGS, FL 327014712
Phone: (407) 846-7546
Fax: (407) 332-8676
Type: Location
PO BOX 746747
ATLANTA, GA 303746747
Phone: (666) 808-5058
Fax: (374) 364-1569
Type: Mailing
131 LEWIS AVE
CIRCLEVILLE, OH 431131209
Phone: (614) 539-1800
Fax: (617) 263-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,549.
Total Amount is formed as General ($2,549) + Research ($0) + Ownership ($0) = $2,549.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($429).
Total Amount
$2,549
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,549
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $429 |
| Janssen Biotech, Inc. | $397 |
| Incyte Corporation | $203 |
| LEO Pharma Inc. | $173 |
| GENZYME CORPORATION | $165 |
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: 2024-11-21
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 |
|---|---|---|---|---|
| I20220105001819 | I | Physician Assistant | FL | TBD |
| I20241121004549 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 206 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 74 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 50 | 47 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 37 | 34 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 29 | 29 | $0 |
Insurance plans in this area (ZIP 33328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH |
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