SHANE TIMOTHY SAMPSON MD
NPI 1023080116
Family Medicine in Centerville, OH

Q: What is Shane Sampson's NPI number?

The NPI number for Shane Sampson is 1023080116. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Shane Sampson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Sampson was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment

1989 MIAMISBURG CENTERVILLE RD STE 301, CENTERVILLE, OH 45459(937) 434-7353(937) 438-6569 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Timothy Sampson Md NPPES

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

SHANE TIMOTHY SAMPSON MD (NPI 1023080116) is an individual family medicine provider in Centerville, Ohio, licensed in Ohio (35063468) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and is a graduate of Indiana University School Of Medicine (1989).

NPPES Registry Identity

NPI1023080116

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHANE TIMOTHY SAMPSONCredential: MD

Location Address1989 MIAMISBURG CENTERVILLE RD STE 301Centerville, OH 45459-3858

Mailing Address1989 Miamisburg Centerville Rd Ste 301Centerville, OH 45459-3858 · (937) 434-7353 · Fax (937) 438-6569

Phone(937) 434-7353

Fax(937) 438-6569

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1989

Enumeration DateFebruary 3, 2006

Last NPPES UpdateMarch 1, 2019

✔ NPI 1023080116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35063468✔ Licensed in IN · 01038529

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.

1989 MIAMISBURG CENTERVILLE RD STE 301, Centerville, OH 45459

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Other Identifiers 1

Medicaid0891343OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans 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

Shane Timothy Sampson Md 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 ID1951488766

PECOS Enrollment IDI20220803001589

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.

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers28 claims64 services$6.27 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier29 claims29 services$4.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. INNA L BAIR CNP

Nurse Practitioner (Primary Care)

1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459

Montgomery County (937) 434-7353

DR. WILLIAM EARL VENANZI JR. MD

Internal Medicine (Rheumatology)

1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459

Montgomery County (937) 434-7353

MIJANOU D MARRETTA-LEWIS FNP-C

Nurse Practitioner (Family)

1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459

Montgomery County (937) 434-7353

LORI LYNN WHITEHEAD APRN-CNP

Nurse Practitioner

1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459

Montgomery County (937) 434-7353

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 Shane Sampson's NPI number?

The NPI number for Shane Sampson is 1023080116. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Shane Sampson located?

Shane Sampson practices at 1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459. The listed phone number is (937) 434-7353.

What is Shane Sampson's specialty?

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

Is Shane Sampson enrolled in Medicare?

Yes. Shane Sampson 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 Shane Sampson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shane Sampson 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 Shane Sampson affiliated with any hospitals?

According to CMS data, Shane Sampson is affiliated with Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Shane Sampson was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.