SAMARA GWEN BUCK (PA-C) – Physician Assistant, NPI 1730625799
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMARA GWEN BUCK (PA-C)
1670 E SHERMAN BLVD
MUSKEGON, MI 494441863
Phone: (231) 672-2400
Fax: (231) 672-2401
Type: Location
PO BOX 1848
MUSKEGON, MI 494431848
Phone: (231) 728-1663
Fax: (231) 728-4571
Type: Mailing
18511 171 Ave
Spring Lake, MI 49456
Phone: (616) 296-7861
Fax: (616) 296-7881
Type: Location
1223, Mercy Drive, Muskegon, Muskegon County, Michigan, 49444, United States
MUSKEGON, MI 494441829
Phone: (231) 672-3177
Fax: (231) 672-3178
Type: Location
3159 ROOSEVELT RD
MUSKEGON, MI 494413907
Phone: (231) 233-7981
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Silk Road Medical, Inc. ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $116 |
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: 2017-03-24
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 |
|---|---|---|---|---|
| I20170324001103 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49444)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Addiction Medicine, Family Practice | IL | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
Reviews
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