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SAMANTHA KATHRYN INGRAM
NPI 1164316626
Physician Assistant in Lexington, KY

Active since June 06, 2025PECOS Enrolled
900 SOUTH LIMESTONE STREET SUITE 205, LEXINGTON, KY 40536(859) 323-1100 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Jun 6, 2025 (2 updates tracked since 2025).

About Samantha Kathryn Ingram NPPES

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

SAMANTHA KATHRYN INGRAM (NPI 1164316626) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC001) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164316626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA KATHRYN INGRAM
Location Address900 SOUTH LIMESTONE STREET SUITE 205Lexington, KY 40536-0001
Mailing Address900 South Limestone Street Suite 205Lexington, KY 40536-0001
Phone(859) 323-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 6, 2025
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1164316626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC001
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License TC001 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TC001 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
900 SOUTH LIMESTONE STREET SUITE 205, Lexington, KY 40536
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Secondary Practice Location 1

Location 1800 Rose StLexington, KY 40536-0294 · Phone (859) 323-0295

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Kathryn Ingram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517437304
PECOS Enrollment IDI20260521002001
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Samantha Ingram's NPI number?

The NPI number for Samantha Ingram is 1164316626. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Samantha Ingram located?

Samantha Ingram practices at 900 South Limestone Street Suite 205, Lexington, KY 40536. The listed phone number is (859) 323-1100.

What is Samantha Ingram's specialty?

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

Is Samantha Ingram enrolled in Medicare?

Yes. Samantha Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Ingram was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.