SAMANTHA KITCOFF (PA-C) – Medical Physician Assistant, NPI 1477925071
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for SAMANTHA KITCOFF (PA-C)
8180 CLEARVISTA PKWY STE 100
INDIANAPOLIS, IN 462564649
Phone: (317) 903-8337
Type: Mailing
11580 OVERLOOK DR STE 300
FISHERS, IN 460374221
Phone: (317) 926-3739
Type: Location
875 AIRPORT PKWY
GREENWOOD, IN 461431085
Phone: (317) 926-3739
Fax: (317) 921-7478
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 458 Open Payments records for all available years, with a total value of $6,044.
Total Amount is formed as General ($6,044) + Research ($0) + Ownership ($0) = $6,044.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($761).
Total Amount
$6,044
General + Research + Ownership
Payments
458
Total payment records
General Amount
$6,044
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $761 |
| ABBVIE INC. | $661 |
| MAYNE PHARMA COMMERCIAL LLC | $571 |
| Dermavant Sciences, Inc. | $526 |
| UCB, Inc. | $309 |
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: 2019-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190719000141 | I | Physician Assistant | IN | 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 | 622 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 315 | 238 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 209 | 169 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 124 | 114 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 101 | 91 | $0 |
Insurance plans in this area (ZIP 46256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| D E R M A T O L O G Y | KY | |
| - | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | SC | |
| - | IN |
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