SAMUEL ALLAN WADDELL (PA-C) – Physician Assistant, NPI 1194033803

SAMUEL ALLAN WADDELL (PA-C) is a healthcare provider. based in Pittsburg, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA06784 (TX). The NPI Number for SAMUEL ALLAN WADDELL (PA-C) is 1194033803

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL ALLAN WADDELL (PA-C)
NPI
1194033803
Phone
(903) 946-5442
Address
2701 US HIGHWAY 271 N
Enumeration Date
15 September 2010
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9039465442
Graduation Year
2009 (17 years ago)
PAC ID
6507047313
Group Practice PAC ID
5597029272
Professional Enrollment ID
I20110228000574
Address ID
TX756864289PI2701XNXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SAMUEL ALLAN WADDELL (PA-C)

  • 2701 US HIGHWAY 271 N

    PITTSBURG, TX 756864289

    Phone: (903) 946-5442

    Fax: (903) 946-5258

    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 40 Open Payments records for all available years, with a total value of $856.

Total Amount is formed as General ($856) + Research ($0) + Ownership ($0) = $856.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: PFIZER INC. ($219).

Total Amount

$856

General + Research + Ownership

Payments

40

Total payment records

General Amount

$856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2011-02-28

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
I20110228000574IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75686)

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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: 5597029272View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Pediatric MedicineTX
-TX
Nurse PractitionerTX
-TX
Family PracticeTX
Interventional CardiologyTX

Reviews

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Frequently asked questions

Does SAMUEL ALLAN WADDELL (PA-C) have a public NPI I can cite?
Public records show SAMUEL ALLAN WADDELL (PA-C) under NPI 1194033803.
Does the public listing show SAMUEL ALLAN WADDELL (PA-C) as active?
SAMUEL ALLAN WADDELL (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits SAMUEL ALLAN WADDELL (PA-C)?
NPPES ties SAMUEL ALLAN WADDELL (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMUEL ALLAN WADDELL (PA-C)?
SAMUEL ALLAN WADDELL (PA-C) is associated with Pittsburg, Texas in the same public data insurers reference.
Can I export SAMUEL ALLAN WADDELL (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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