SAMANTHA WHALEN BOUTHILLETTE (PA-C) – Surgical Physician Assistant, NPI 1013268218
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for SAMANTHA WHALEN BOUTHILLETTE (PA-C)
9 BRENDA DR
WESTFIELD, MA 010854601
Phone: (413) 454-2782
Type: Mailing
75 RUSSELLVILLE RD
SOUTHAMPTON, MA 010739508
Phone: (413) 454-2782
Type: Mailing
300 BIRNIE AVE
SPRINGFIELD, MA 011071107
Phone: (413) 785-4666
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2015-12-08
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 |
|---|---|---|---|---|
| I20151208000666 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,371 | 163 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 283 | 167 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 117 | $0 |
| 73564 | X-ray of knee, 4 or more views | 81 | 80 | $0 |
Insurance plans in this area (ZIP 01085)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MA | 27447 | Repair of knee joint | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | NH | |
| Physician Assistant | NH | |
| Physical Medicine And Rehabilitation | NH | |
| Physician Assistant | NH | |
| Physician Assistant | MA | |
| Orthopedic Surgery | MA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management, Physical Medicine And Rehabilitation, Interventional Pain Management | NH | |
| Physical Therapist In Private Practice | MA |
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