SAMUEL L PITTMAN – Physician Assistant, NPI 1568820645

SAMUEL L PITTMAN is a healthcare provider. based in Amarillo, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. T0000 (TX). The NPI Number for SAMUEL L PITTMAN is 1568820645

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL L PITTMAN
NPI
1568820645
Phone
(806) 355-3352
Address
PO BOX 3780
Enumeration Date
4 February 2016
Last Update Date
4 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8064689700
Graduation Year
2015 (11 years ago)
PAC ID
3577852011
Group Practice PAC ID
6103978499
Professional Enrollment ID
I20160523001517
Address ID
TX791061836AM1100XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for SAMUEL L PITTMAN

  • PO BOX 3780

    AMARILLO, TX 791163780

    Phone: (806) 355-3352

    Fax: (806) 355-5367

    Type: Mailing

  • Medi Park Drive, Amarillo, Potter County, Texas, 79105, United States

    AMARILLO, TX 791062109

    Phone: (806) 355-3352

    Fax: (806) 355-5367

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($64).

Total Amount

$64

General + Research + Ownership

Payments

1

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

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: 2016-05-23

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
I20160523001517IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg980142$0
99213Established patient office or other outpatient visit, 20-29 minutes274186$0
73030X-ray of shoulder, minimum of 2 views263220$0
20610Aspiration and/or injection of fluid from large joint225142$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 79116)

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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: 6103978499View full group profile
NameSpecialtyState
Physician AssistantTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
-TX
Physical Therapist In Private PracticeTX
-TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Orthopedic Surgery, Hand SurgeryTX
Orthopedic Surgery, Sports MedicineTX

Reviews

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Frequently asked questions

What is the registry number for SAMUEL L PITTMAN?
The registry entry for SAMUEL L PITTMAN shows NPI 1568820645.
Does the public listing show SAMUEL L PITTMAN as active?
SAMUEL L PITTMAN's NPI record reflects an active status in NPPES.
What does the directory say SAMUEL L PITTMAN does?
Insurance directories may phrase it differently, but here SAMUEL L PITTMAN maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to SAMUEL L PITTMAN?
The directory associates SAMUEL L PITTMAN with Amarillo, Texas. Check all listed addresses for suites or satellite offices.
Can I export SAMUEL L PITTMAN's record?
You can download the official NPPES record; we summarize key fields for readability.

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