1. Home
  2. Directory
  3. New York
  4. New Hartford
  5. Physician Assistant
  6. NPI Profile

SAMANTHA TAVAREZ PA-C
NPI 1003702630
Physician Assistant in New Hartford, NY

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
20 KELLOGG RD, NEW HARTFORD, NY 13413(315) 765-0903 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Tavarez Pa-c NPPES

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

SAMANTHA TAVAREZ PA-C (NPI 1003702630) is an individual physician assistant in New Hartford, New York, licensed in New York (034272) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003702630
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA TAVAREZCredential: PA-C
Location Address20 KELLOGG RDNew Hartford, NY 13413-2825
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1722 · Fax (315) 798-1872
Phone(315) 765-0903
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1003702630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034272
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.
20 KELLOGG RD, New Hartford, NY 13413
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Tavarez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466943048
PECOS Enrollment IDI20251111003264
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 6

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

MICHAEL TROCIUK, MD PC
Anesthesiology
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 449-0513
MIKAYLA JO ROLCHIGO FNP-C
Nurse Practitioner (Family)
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 765-0903
PAMELA SLAGLE N.P.
Nurse Practitioner (Family)
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 733-0101
HIGH PEAKS MEDICINE PLLC
Internal Medicine
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 765-0903
MR. BRANDON JULIAN
Physician Assistant
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 751-7047
DR. RICHARD SLEEPER M.D.
Specialist
20 KELLOGG RD
NEW HARTFORD, NY 13413
Oneida County (315) 733-0101

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 Samantha Tavarez's NPI number?

The NPI number for Samantha Tavarez is 1003702630. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Samantha Tavarez located?

Samantha Tavarez practices at 20 Kellogg Rd, New Hartford, NY 13413. The listed phone number is (315) 765-0903.

What is Samantha Tavarez's specialty?

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

Is Samantha Tavarez enrolled in Medicare?

Yes. Samantha Tavarez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Tavarez affiliated with any hospitals?

According to CMS data, Samantha Tavarez is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Tavarez was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.