SAMANTHA LYNN MYERS (P.A.C.) – Physician Assistant, NPI 1477622108

SAMANTHA LYNN MYERS (P.A.C.) is a healthcare provider. based in Clarkston, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C.. They hold a License No. SM003586 (MI). The NPI Number for SAMANTHA LYNN MYERS (P.A.C.) is 1477622108

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LYNN MYERS (P.A.C.)
NPI
1477622108
Phone
(248) 625-2621
Address
5701 BOW POINTE DR
Enumeration Date
7 November 2006
Last Update Date
23 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106067550
Graduation Year
2001 (25 years ago)
PAC ID
7517031024
Group Practice PAC ID
3476456492
Professional Enrollment ID
I20080801000069
Address ID
MI484398395GR3399XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for SAMANTHA LYNN MYERS (P.A.C.)

  • McLaren Health Care Village at Clarkston, 5701, Bow Pointe Drive, Oakland County, Michigan, 48346, United States

    SUITE 100

    CLARKSTON, MI 483463198

    Phone: (248) 625-2621

    Fax: (248) 625-8938

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($49).

Total Amount

$104

General + Research + Ownership

Payments

5

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2008-08-01

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
I20080801000069IPhysician AssistantMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes154106$0
99213Established patient office or other outpatient visit, 20-29 minutes8481$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6051$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5956$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 48346)

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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: 3476456492View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryMI
Obstetrics/Gynecology, General SurgeryMI
Nurse PractitionerMI
General SurgeryMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MN
Interventional CardiologyMI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do I look up SAMANTHA LYNN MYERS (P.A.C.) by NPI?
Use NPI 1477622108 when you need to reference SAMANTHA LYNN MYERS (P.A.C.) in forms, claims, or directories.
Is SAMANTHA LYNN MYERS (P.A.C.) currently active in the NPI registry?
CMS-published data lists SAMANTHA LYNN MYERS (P.A.C.) as an active registrant.
Can you summarize SAMANTHA LYNN MYERS (P.A.C.)'s specialty in plain language?
Clinically, the directory lists SAMANTHA LYNN MYERS (P.A.C.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place SAMANTHA LYNN MYERS (P.A.C.)?
The snapshot lists Clarkston, Michigan for SAMANTHA LYNN MYERS (P.A.C.); download NPPES for the complete set.
Is SAMANTHA LYNN MYERS (P.A.C.) a real provider?
This page reflects official NPPES data for NPI 1477622108. Always confirm identity and privileges with the practice and licensing boards.

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