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DR. SAMUEL EVENSON M.D.
NPI 1124559075
Psychiatry & Neurology - Psychiatry in Montpelier, VT

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
350 FISHER RD, MONTPELIER, VT 05633(802) 828-3300(802) 828-2749 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Jun 14, 2021, Jun 7, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Samuel Evenson M.d. NPPES

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

DR. SAMUEL EVENSON M.D. (NPI 1124559075) is an individual psychiatry provider in Montpelier, Vermont, licensed in Vermont (042.0014480) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124559075
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SAMUEL EVENSONCredential: M.D.
Location Address350 FISHER RDMontpelier, VT 05633-7901
Mailing Address350 Fisher RdMontpelier, VT 05633-7901 · (802) 828-3300 · Fax (802) 828-2749
Phone(802) 828-3300
Fax(802) 828-2749
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1124559075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VT · 042.0014480
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
350 FISHER RD, Montpelier, VT 05633
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1130 Fisher Rd Unit 1Berlin, VT 05602-8132 · Phone (802) 371-4316
Location 2115 Porter DrMiddlebury, VT 05753-8629 · Phone (802) 338-4430
Location 3111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-2345

Other Identifiers 2

Medicaid06549893NY
Medicaid1030302VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Samuel Evenson 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 ID6406127349
PECOS Enrollment IDI20210617001257
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.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05633 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 2

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

DR. GREGORY TOMASULO PH.D.
Psychologist (Clinical)
350 FISHER RD
MONTPELIER, VT 05633
Washington County (802) 828-3300
DR. DAVID YONATAN HARARI M.D.
Psychiatry & Neurology (Psychiatry)
350 FISHER RD
MONTPELIER, VT 05633
Washington County (802) 828-3300

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 Samuel Evenson's NPI number?

The NPI number for Samuel Evenson is 1124559075. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Samuel Evenson located?

Samuel Evenson practices at 350 Fisher Rd, Montpelier, VT 05633. The listed phone number is (802) 828-3300.

What is Samuel Evenson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Evenson enrolled in Medicare?

Yes. Samuel Evenson 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 Samuel Evenson accept?

Health plans from Anthem Blue Cross and Blue Shield list Samuel Evenson 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 Samuel Evenson affiliated with any hospitals?

According to CMS data, Samuel Evenson is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Samuel Evenson was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.