SAMUEL RUSH OSIMITZ
NPI 1013590785
Physician Assistant in Salt Lake City, UT

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2023, Dec 12, 2022, Apr 30, 2021 (3 updates tracked since 2021).

About Samuel Rush Osimitz NPPES

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

SAMUEL RUSH OSIMITZ (NPI 1013590785) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (10705102-1206) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1013590785
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL RUSH OSIMITZ
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address375 S Chipeta WaySalt Lake City, UT 84108-1260 · (801) 581-7766
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022
Enumeration DateApril 30, 2021
Last NPPES UpdateMay 2, 20233 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1013590785 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 UT · 10705102-1206
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.
375 S CHIPETA WAY, Salt Lake City, UT 84108

Accepted 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

Samuel Rush Osimitz 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 ID2264803675
PECOS Enrollment IDI20230123002170
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 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY, SUITE A200
SALT LAKE CITY, UT 84108

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 Osimitz's NPI number?

The NPI number for Samuel Osimitz is 1013590785. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Samuel Osimitz located?

Samuel Osimitz practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-7766.

What is Samuel Osimitz's specialty?

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

Is Samuel Osimitz enrolled in Medicare?

Yes. Samuel Osimitz 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 Samuel Osimitz accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Samuel Osimitz 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.

When was this NPI record last updated?

The NPPES record for Samuel Osimitz was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.