AMANDA SAMPLE – Obstetrics & Gynecology Physician, NPI 1043449820

AMANDA SAMPLE is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. MD472216 (PA). The NPI Number for AMANDA SAMPLE is 1043449820

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA SAMPLE
NPI
1043449820
Phone
(412) 621-7575
Address
300 HALKET ST STE 5730
Enumeration Date
14 July 2009
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4126416223
Graduation Year
2009 (17 years ago)
PAC ID
8729227020
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20201116001739
Address ID
PA152133108PI300XXSTXX311
Telehealth
Yes

Contacts

Secure Messaging
amanda.j.sample@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

2,152 OBSTETRICS/GYNECOLOGY in PA

Provider Addresses for AMANDA SAMPLE

  • 300 HALKET ST STE 5730

    PITTSBURGH, PA 152133108

    Phone: (412) 621-7575

    Fax: (412) 621-6353

    Type: Location

  • 2990, Mack Road, Fairfield, Butler County, Ohio, 45014, United States

    STE 110

    FAIRFIELD, OH 450145383

    Phone:

    Type: Mailing

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: 2020-11-16

PECOS data refreshed: 2026-06-15

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
I20201116001739IObstetrics/GynecologyPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$0
View full utilization report →

Insurance plans in this area (ZIP 15213)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
Nurse PractitionerPA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

How is AMANDA SAMPLE identified in CMS data?
CMS-hosted NPPES data lists AMANDA SAMPLE with NPI 1043449820.
Is AMANDA SAMPLE listed as active for patients and plans?
The listing shows AMANDA SAMPLE as active in the NPI system.
What is AMANDA SAMPLE's primary classification?
Obstetrics & Gynecology Physician is the headline specialty for AMANDA SAMPLE here. Clinical services aligned with this taxonomy classification.
Where should I expect AMANDA SAMPLE on a map?
Expect Pittsburgh, Pennsylvania as a primary anchor for AMANDA SAMPLE unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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