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SAMANTHA K WINDLE D.O.
NPI 1013328640
Family Medicine in Traverse City, MI

Active since May 16, 2014PECOS EnrolledAccepts Medicare Assignment
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 935-8000(231) 935-8099 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2020, Jan 2, 2019, Sep 12, 2018 (3 updates tracked since 2018).

About Samantha K Windle D.o. NPPES

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

SAMANTHA K WINDLE D.O. (NPI 1013328640) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (5101020879) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1013328640
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA K WINDLECredential: D.O.
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 935-8000 · Fax (231) 935-8099
Phone(231) 935-8000
Fax(231) 935-8099
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 16, 2014
Last NPPES UpdateDecember 31, 20203 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1013328640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101020879
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 MEDICAL CAMPUS DR, Traverse City, MI 49684
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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 K Windle D.o. 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 ID2062796147
PECOS Enrollment IDI20170309001849
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
86%116 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
93%102 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%908 patients4/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
83%65 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
66%598 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SATYA PILLAY DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. ELENA NIKONOVA MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
KAITLYN LEE KILPATRICK DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. GWENDOLYN M GRAVELIE MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
JACOB GEORGE FLYNN M.D.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
BREANNA TRIBELHORN MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
NATALIE A GRAY MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8031
MIRIAM JANELLE RIENSTRA-BAREMAN MPH, MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8012

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 Windle's NPI number?

The NPI number for Samantha Windle is 1013328640. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Samantha Windle located?

Samantha Windle practices at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 935-8000.

What is Samantha Windle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Windle enrolled in Medicare?

Yes. Samantha Windle 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.

What insurance does Samantha Windle accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Samantha Windle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Windle affiliated with any hospitals?

According to CMS data, Samantha Windle is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Windle was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.