MS. SAMANTHA JOSEPHINE OTIS PA-C
NPI 1073081824
Physician Assistant in Syracuse, NY

Active since November 09, 2018PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Samantha Josephine Otis Pa-c NPPES

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

MS. SAMANTHA JOSEPHINE OTIS PA-C (NPI 1073081824) is an individual physician assistant in Syracuse, New York, licensed in New York (022989) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073081824
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SAMANTHA JOSEPHINE OTISCredential: PA-C
Location Address301 PROSPECT AVESyracuse, NY 13203-1899
Mailing Address121 Crystal DrNorth Syracuse, NY 13212-2731 · (315) 243-1020
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 9, 2018
NPI 1073081824 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 NY · 022989
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.

301 PROSPECT AVE, Syracuse, NY 13203

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

Ms. Samantha Josephine Otis Pa-c 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 ID5698010692
PECOS Enrollment IDI20181219002837
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

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 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.
30 services23 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Otis's NPI number?

The NPI number for Samantha Otis is 1073081824. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Samantha Otis located?

Samantha Otis practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Samantha Otis's specialty?

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

Is Samantha Otis enrolled in Medicare?

Yes. Samantha Otis 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.

Is Samantha Otis affiliated with any hospitals?

According to CMS data, Samantha Otis is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Samantha Otis was last updated on November 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.