WILLIAM ROBERT SAMSON DDS
NPI 1093976383
Dentist - General Practice in Bozeman, MT

Active since June 19, 2008Opted out of Medicare · through Feb 3, 2028
3997 VALLEY COMMONS DRIVE SUITE A, BOZEMAN, MT 59718(406) 404-1186(406) 404-1187 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Jan 15, 2020 (2 updates tracked since 2020).

About William Robert Samson Dds NPPES

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

WILLIAM ROBERT SAMSON DDS (NPI 1093976383) is an individual general practice provider in Bozeman, Montana, licensed in Montana (2349) and active in the NPI registry since June 2008. He has opted out of Medicare through February 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093976383
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWILLIAM ROBERT SAMSONCredential: DDS
Location Address3997 VALLEY COMMONS DRIVE SUITE ABozeman, MT 59718-4108
Mailing Address3997 Valley Commons Drive Suite ABozeman, MT 59718 · (406) 404-1186 · Fax (406) 404-1187
Fax(406) 404-1187
Sole ProprietorNo
Enumeration DateJune 19, 2008
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1093976383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MT · 2349
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License R418 (MN)
3997 VALLEY COMMONS DRIVE SUITE A, Bozeman, MT 59718

Other Identifiers 1

Medicaid7133568MT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

William Robert Samson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2016 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2016
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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 William Samson's NPI number?

The NPI number for William Samson is 1093976383. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is William Samson located?

William Samson practices at 3997 Valley Commons Drive Suite A, Bozeman, MT 59718. The listed phone number is (406) 404-1186.

What is William Samson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is William Samson enrolled in Medicare?

No. William Samson has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Samson was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.