SAMANTHA TAYLOR (PA) – Physician Assistant, NPI 1710617550
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for SAMANTHA TAYLOR (PA)
1813 W Harvard Ave Ste 310
Roseburg, OR 974712756
Phone: (541) 672-7546
Fax: (541) 957-8446
Type: Location
750 MERIDIAN RD
EAGLE POINT, OR 975247947
Phone: (707) 208-9425
Type: Mailing
1813 W HARVARD AVE STE 310
ROSEBURG, OR 974712756
Phone: (541) 672-7546
Fax: (541) 957-8446
Type: Location
3063 DELTA WATERS RD
MEDFORD, OR 975045834
Phone: (707) 208-9425
Type: Mailing
1021 NE 6TH ST
GRANTS PASS, OR 975261113
Phone: (541) 507-1881
Fax: (541) 507-1560
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,106.
Total Amount is formed as General ($1,106) + Research ($0) + Ownership ($0) = $1,106.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Lilly USA, LLC ($377).
Total Amount
$1,106
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $377 |
| Janssen Biotech, Inc. | $279 |
| ABBVIE INC. | $206 |
| Regeneron Healthcare Solutions, Inc. | $94 |
| E.R. Squibb & Sons, L.L.C. | $81 |
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: 2022-12-15
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 |
|---|---|---|---|---|
| I20221215002585 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,031 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 561 | 383 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 303 | 233 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 138 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 89 | $0 |
Insurance plans in this area (ZIP 97471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | UT | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | VA |
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