SAMANTHA KATHLEEN WILLOUGHBY (NP) – Family Nurse Practitioner, NPI 1194452417
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for SAMANTHA KATHLEEN WILLOUGHBY (NP)
5224 75TH ST STE D
LUBBOCK, TX 794242525
Phone: (806) 712-1096
Fax: (806) 771-2093
Type: Mailing
2833 BABCOCK RD
SAN ANTONIO, TX 782295390
Phone: (806) 712-1096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $687.
Total Amount is formed as General ($687) + Research ($0) + Ownership ($0) = $687.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($423).
Total Amount
$687
General + Research + Ownership
Payments
23
Total payment records
General Amount
$687
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $423 |
| KCI USA, Inc. | $88 |
| Medline Industries LP | $70 |
| Kerecis Limited | $40 |
| Next Science LLC | $32 |
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: 2022-08-17
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 |
|---|---|---|---|---|
| I20220817004004 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 446 | 65 | $0 |
| 99183 | Management of oxygen chamber therapy | 323 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 233 | 57 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 144 | 17 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 122 | 72 | $0 |
Insurance plans in this area (ZIP 79424)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| Nurse Practitioner | TX | |
| - | KY | |
| Nurse Practitioner | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| Vascular Surgery, General Surgery | TX | |
| Preventive Medicine | MT | |
| - | MD | |
| Nurse Practitioner | TX | |
| P O D I A T R Y | VA |
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