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: July 19, 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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40511 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.24
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $16.56
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychologist (Clinical)
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Skilled Nursing Facility
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Physician Assistant (Medical)
1350 BULL LEA RD
LEXINGTON, KY 40511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003677121, enumerated as an "individual" on January 16, 2024.

The provider is located at 1350 BULL LEA RD LEXINGTON, KY 40511 and the phone number is (859) 246-8000.

Physician Assistant with taxonomy code 363A00000X.