SAMUEL DENNISON SMITH PAC, ATC
NPI 1144878059
Physician Assistant in Klamath Falls, OR

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601(541) 884-7746 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2023, Sep 4, 2019 (2 updates tracked since 2019).

About Samuel Dennison Smith Pac, Atc NPPES

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

SAMUEL DENNISON SMITH PAC, ATC (NPI 1144878059) is an individual physician assistant in Klamath Falls, Oregon, licensed in (1205273) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144878059
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL DENNISON SMITHCredential: PAC, ATC
Location Address2200 BRYANT WILLIAMS DRKlamath Falls, OR 97601-1120
Mailing Address877 Quarry RdMiddlebury, VT 05753-8441 · (802) 349-2194
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 4, 2019
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1144878059 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 · 1205273
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.
2200 BRYANT WILLIAMS DR, Klamath Falls, OR 97601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Samuel Dennison Smith Pac, Atc 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 ID8123460326
PECOS Enrollment IDI20240520001896
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services66 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
60 services37 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
44 services36 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
33 services32 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
21 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Lake District Hospital

Critical Access Hospitals · Lakeview, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381309
Location700 South J StreetLakeview, OR 97630 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97601 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Surgery
2200 BRYANT WILLIAMS DR
KLAMATH FALLS, OR 97601
Specialist
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601
Specialist
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601
Orthopaedic Surgery
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601
Nurse Practitioner (Family)
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601
Specialist
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601
General Practice
2200 BRYANT WILLIAMS DR
KLAMATH FALLS, OR 97601
Specialist
2200 BRYANT WILLIAMS DR, SUITE 1
KLAMATH FALLS, OR 97601

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 Smith's NPI number?

The NPI number for Samuel Smith is 1144878059. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Samuel Smith located?

Samuel Smith practices at 2200 Bryant Williams Dr, Klamath Falls, OR 97601. The listed phone number is (541) 884-7746.

What is Samuel Smith's specialty?

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

Is Samuel Smith enrolled in Medicare?

Yes. Samuel Smith 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 Smith accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Samuel Smith 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 Smith affiliated with any hospitals?

According to CMS data, Samuel Smith is affiliated with Sky Lakes Medical Center and Lake District Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Smith was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.