MARTIN SAMPLE PA
NPI 1013038975
Physician Assistant in Schenectady, NY

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
1101 NOTT ST, SCHENECTADY, NY 12308(518) 243-4000 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Sample Pa NPPES

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

MARTIN SAMPLE PA (NPI 1013038975) is an individual physician assistant in Schenectady, New York, licensed in New York (010377) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Albany Medical College Of Union University (2004).

NPPES Registry Identity

NPI1013038975
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARTIN SAMPLECredential: PA
Location Address1101 NOTT STSchenectady, NY 12308-2425
Mailing Address600 Mcclellan St, 2 WestSchenectady, NY 12304-1009
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2004
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 22, 2015
NPI 1013038975 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 · 010377
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.

1101 NOTT ST, Schenectady, NY 12308

Other Identifiers 6

Other000413205001Bsneny
Medicare PINPA1902NY
Other3013540Mvp
Other070808000134NY · Fidelis
Other110126992Cdphp
Medicaid03875261NY

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

Martin Sample Pa 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 ID2466545660
PECOS Enrollment IDI20070904000577
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12308 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 20

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

Physician Assistant (Surgical)
1101 NOTT ST
SCHENECTADY, NY 12308
Emergency Medicine
1101 NOTT ST, @ ELLIS HOSPITAL ER DEPT.
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Emergency Medicine
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308
Physician Assistant (Surgical)
1101 NOTT ST
SCHENECTADY, NY 12308

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 Martin Sample's NPI number?

The NPI number for Martin Sample is 1013038975. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Martin Sample located?

Martin Sample practices at 1101 Nott St, Schenectady, NY 12308. The listed phone number is (518) 243-4000.

What is Martin Sample's specialty?

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

Is Martin Sample enrolled in Medicare?

Yes. Martin Sample 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 Martin Sample affiliated with any hospitals?

According to CMS data, Martin Sample is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Martin Sample was last updated on July 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.