AMANDA SAMPLE
NPI 1043449820
Obstetrics & Gynecology in Pittsburgh, PA

Q: What is Amanda Sample's NPI number?

The NPI number for Amanda Sample is 1043449820. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Q: What is Amanda Sample's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Sample was last updated on June 9, 2021. 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.

Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

300 HALKET ST STE 5730, PITTSBURGH, PA 15213(412) 621-7575(412) 621-6353 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2021, May 24, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2015).

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About Amanda Sample NPPES

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

AMANDA SAMPLE (NPI 1043449820) is an individual obstetrics & gynecology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD472216) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of West Virginia University School Of Medicine (2009).

NPPES Registry Identity

NPI1043449820

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameAMANDA SAMPLE

Location Address300 HALKET ST STE 5730Pittsburgh, PA 15213-3108

Mailing Address2990 Mack Rd, Ste 110Fairfield, OH 45014-5383

Phone(412) 621-7575

Fax(412) 621-6353

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2009

Enumeration DateJuly 14, 2009

Last NPPES UpdateJune 9, 20215 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1043449820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD472216

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MD472216 (PA)

300 HALKET ST STE 5730, Pittsburgh, PA 15213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Amanda Sample 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 ID8729227020

PECOS Enrollment IDI20201116001739

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 2

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES 5

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

MS. KELLY L MCCUNE MUPAMOMBE MD

Obstetrics & Gynecology