SAMANTHA BERMAN (PA) – Medical Physician Assistant, NPI 1922670082

SAMANTHA BERMAN (PA) is a healthcare provider. based in Independence, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.008778RX (OH). The NPI Number for SAMANTHA BERMAN (PA) is 1922670082

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA BERMAN (PA)
NPI
1922670082
Phone
(216) 986-4000
Address
5001 ROCKSIDE RD
Enumeration Date
16 July 2021
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2169864000
Graduation Year
2021 (5 years ago)
PAC ID
6002213394
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20241011002678
Address ID
OH441312172IN5001XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for SAMANTHA BERMAN (PA)

  • 5001 ROCKSIDE RD

    INDEPENDENCE, OH 441312172

    Phone: (216) 986-4000

    Fax: (216) 986-4930

    Type: Location

  • 100 KINGS HWY S

    ROCHESTER, NY 146175504

    Phone: (585) 974-5330

    Fax: (585) 974-5339

    Type: Mailing

  • 30 HAGEN DR STE 310

    ROCHESTER, NY 146252658

    Phone: (585) 974-5330

    Fax: (585) 974-5339

    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: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210929002855IPhysician AssistantNYTBD
I20241011002678IPhysician AssistantOHTBD

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 minutes11968$0
99213Established patient office or other outpatient visit, 20-29 minutes6243$0
View full utilization report →

Insurance plans in this area (ZIP 44131)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is SAMANTHA BERMAN (PA) listed with a National Provider Identifier?
Yes — SAMANTHA BERMAN (PA) has NPI 1922670082 on file in the registry.
Would SAMANTHA BERMAN (PA) appear as active to a payer?
You can treat SAMANTHA BERMAN (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SAMANTHA BERMAN (PA)?
SAMANTHA BERMAN (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SAMANTHA BERMAN (PA) associated with Independence?
Public fields place SAMANTHA BERMAN (PA) around Independence, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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