SAMANTHA JEAN M.D.
NPI 1023438512
Family Medicine in Port Charlotte, FL

Q: What is Samantha Jean's NPI number?

The NPI number for Samantha Jean is 1023438512. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Q: What is Samantha Jean'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 Samantha Jean was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment

2525 HARBOR BLVD, SUITE 308, PORT CHARLOTTE, FL 33952(419) 629-7777(941) 629-8170 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Jul 18, 2024, Jun 11, 2024 and 2 more (5 updates tracked since 2017).

On this page

About Samantha Jean M.d. NPPES

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

SAMANTHA JEAN M.D. (NPI 1023438512) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (ME132410) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023438512

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSAMANTHA JEANCredential: M.D.

Location Address2525 HARBOR BLVD, SUITE 308Port Charlotte, FL 33952

Mailing Address2525 Harbor Blvd, Suite 308Port Charlotte, FL 33952 · (419) 629-7777 · Fax (941) 629-8170

Phone(419) 629-7777

Fax(941) 629-8170

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 23, 2014

Last NPPES UpdateJune 9, 20265 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1023438512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME132410✔ Licensed in KY · 52119

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.

Also ListedHospitalistTaxonomy 208M00000X · License 336250 (LA), ME132410 (FL), 52119 (KY)

2525 HARBOR BLVD, Port Charlotte, FL 33952

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Secondary Practice Locations 2

Location 121297 Olean Blvd Ste APort Charlotte, FL 33952-6704 · Phone (855) 979-5700

Location 2309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 Jean M.d. 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 ID1153543160

PECOS Enrollment IDI20170823001067, I20240423000873

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 7

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

346 services113 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

92 services91 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 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.

36 services17 patients

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.

28 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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…

93%218 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers29 claims31 services$15.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers26 claims26 services$5.14 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims29 services$80.19 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$34.10 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 20

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

MICHAEL JAMES LAWSON ARNP

Nurse Practitioner

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-9190

LUIS GERARDO MARMOL M.D.

Otolaryngology

2525 HARBOR BLVD, SUITE # 303
PORT CHARLOTTE, FL 33952

Charlotte County (941) 235-1901

MEDICAL PAVILION CLINC

Preferred Provider Organization

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-9190

STEPHEN PETROFSKY DPM PA

Durable Medical Equipment & Medical Supplies

2525 HARBOR BLVD, SUITE 206
PT CHARLOTTE, FL 33952

Charlotte County (941) 625-3330

DAVID S BALLESTAS MD PA

Specialist

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-7593

DR. ANTONIO LABITAG GABARDA M.D.

Internal Medicine (Hematology & Oncology)

2525 HARBOR BLVD, SUITE 205
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-4660

DR. JEROME B COHEN MD

Internal Medicine

2525 HARBOR BLVD, 104
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-5757

JENS CHRISTIAN CARLSEN DO

Urology

2525 HARBOR BLVD, SUITE 201A
PORT CHARLOTTE, FL 33952

Charlotte County (941) 421-0756

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 Jean's NPI number?

The NPI number for Samantha Jean is 1023438512. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Samantha Jean located?

Samantha Jean practices at 2525 Harbor Blvd Suite 308, Port Charlotte, FL 33952. The listed phone number is (419) 629-7777.

What is Samantha Jean's specialty?

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

Is Samantha Jean enrolled in Medicare?

Yes. Samantha Jean 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 Jean accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HMO Louisiana and Oscar Health Maintenance Organization of Florida and 1 other insurer list Samantha Jean 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 Jean affiliated with any hospitals?

According to CMS data, Samantha Jean is affiliated with St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Jean was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.