JUSTIN SAMMONS (PA-C) – Physician Assistant, NPI 1447576483

JUSTIN SAMMONS (PA-C) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2190 (KY). The NPI Number for JUSTIN SAMMONS (PA-C) is 1447576483

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN SAMMONS (PA-C)
NPI
1447576483
Phone
(859) 263-5140
Address
3480 YORKSHIRE MEDICAL PARK
Enumeration Date
15 April 2010
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592635140
Graduation Year
2016 (10 years ago)
PAC ID
6002196136
Group Practice PAC ID
4789988981
Professional Enrollment ID
I20161207002309
Address ID
KY403249617GE101XXPATH300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for JUSTIN SAMMONS (PA-C)

  • 3480 YORKSHIRE MEDICAL PARK

    LEXINGTON, KY 405091886

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Mailing

  • 145 Newcomb Ave

    Mount Vernon, KY 404562728

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 2045 Lantern Ridge Dr

    Richmond, KY 404756010

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 195 Commercial Dr

    London, KY 407448234

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1760 Harrodsburg Rd

    Lexington, KY 405043602

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1868 Plaudit Pl

    Lexington, KY 405092429

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 101 Windsor Path

    Georgetown, KY 403249617

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 3401 Yorkshire Medical Park

    Lexington, KY 405092513

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 850 Hail Knob Rd Ste B

    Somerset, KY 425033418

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 111 Cynthia Dr Ste 139

    Nicholasville, KY 403568062

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1350 Flemingsburg Rd

    Morehead, KY 403511810

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1401, Harrodsburg Road, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States

    SUITE A-540

    LEXINGTON, KY 405041720

    Phone: (859) 258-6760

    Fax: (859) 258-6512

    Type: Mailing

  • Harrodsburg Road, Twin Oaks, Garden Springs, Lexington, Fayette County, Kentucky, 40390:40513, United States

    LEXINGTON, KY 405041720

    Phone: (859) 258-6760

    Fax: (859) 258-6512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,459.

Total Amount is formed as General ($1,459) + Research ($0) + Ownership ($0) = $1,459.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Sonex Health, Inc. ($1,346).

Total Amount

$1,459

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

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: 2016-12-07

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
I20161207002309IPhysician AssistantKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes131123$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3736$0
99213Established patient office or other outpatient visit, 20-29 minutes3636$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2015$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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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: 4789988981View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
-KY
Physical Therapist In Private PracticeKY
Physician AssistantKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Does JUSTIN SAMMONS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JUSTIN SAMMONS (PA-C) uses 1447576483.
Is JUSTIN SAMMONS (PA-C) listed as active for patients and plans?
The listing shows JUSTIN SAMMONS (PA-C) as active in the NPI system.
What is JUSTIN SAMMONS (PA-C)'s specialty?
The listing groups JUSTIN SAMMONS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JUSTIN SAMMONS (PA-C) list a practice location?
Patients near Lexington, Kentucky may find JUSTIN SAMMONS (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
14 practice locations appear in the available data.

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