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SAMUEL ADAM CUNDIFF PA-C
NPI 1003677121
Physician Assistant in Lexington, KY

Active since January 16, 2024PECOS Enrolled
1350 BULL LEA RD, LEXINGTON, KY 40511(859) 246-8000(859) 246-8032 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Aug 20, 2024, Aug 2, 2024 (3 updates tracked since 2024).

About Samuel Adam Cundiff Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL ADAM CUNDIFF PA-C (NPI 1003677121) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3445) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Georgetown.

NPPES Registry Identity

NPI1003677121
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL ADAM CUNDIFFCredential: PA-C
Location Address1350 BULL LEA RDLexington, KY 40511-1247
Mailing Address2781 Ruby River Dr Apt 1103Lexington, KY 40511-6524 · (859) 475-6773
Phone(859) 246-8000
Fax(859) 246-8032
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1003677121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA3445
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3445 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA3445 (KY)
1350 BULL LEA RD, Lexington, KY 40511
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Secondary Practice Location 1

Location 1149 Fallow CirGeorgetown, KY 40324-7007 · Phone (859) 475-6773

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Adam Cundiff Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES I SHELTON JR. D.O.
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
MONICA LYNN JOHNSON APRN
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
CHIZIMUZO CHINONSO TOCHUKWU OKOLI PHD, MPH, APRN
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8020
MARY ALLISON WATKINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
CASSIDY PAIGE DELGADO PA
Physician Assistant
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
ANDREW MAKOWSKI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
NICOLE AKEY PA-C
Physician Assistant
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (859) 246-8000
DR. ANDREW T COOLEY M.D.
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Fayette County (502) 333-7378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Cundiff's NPI number?

The NPI number for Samuel Cundiff is 1003677121. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Samuel Cundiff located?

Samuel Cundiff practices at 1350 Bull Lea Rd, Lexington, KY 40511. The listed phone number is (859) 246-8000.

What is Samuel Cundiff's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Cundiff enrolled in Medicare?

Yes. Samuel Cundiff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Cundiff was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.