SAMUEL POND PA-C
NPI 1083124432
Physician Assistant in Saint Louis, MO

Q: What is Samuel Pond's NPI number?

The NPI number for Samuel Pond is 1083124432. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Q: What is Samuel Pond's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Pond was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 October 11, 2017PECOS EnrolledAccepts Medicare Assignment

701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141(314) 251-6710 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2025, Oct 11, 2017 (2 updates tracked since 2017).

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About Samuel Pond Pa-c NPPES

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

SAMUEL POND PA-C (NPI 1083124432) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2025042977) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083124432

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL PONDCredential: PA-C

Location Address701 S NEW BALLAS RD STE 510Saint Louis, MO 63141-8726

Mailing Address701 S New Ballas Rd Ste 510Saint Louis, MO 63141-8726 · (314) 251-6710

Phone(314) 251-6710

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 11, 2017

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1083124432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2025042977

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

701 S NEW BALLAS RD STE 510, Saint Louis, MO 63141

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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 Pond 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 ID6507354495

PECOS Enrollment IDI20251022003895

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.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

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Other Providers at the Same Location NPPES 15

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

TRAVIS J JUNGE M.D.

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