SAMANTHA DEARMON DO
NPI 1164913240
Emergency Medicine in Belton, MO

Active since May 23, 2018PECOS Enrolled
76.92/100
CMS Quality Rating
17065 S OUTER RD, BELTON, MO 64012(417) 693-0304 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2023, May 23, 2018 (2 updates tracked since 2018).

About Samantha Dearmon Do NPPES

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

SAMANTHA DEARMON DO (NPI 1164913240) is an individual emergency medicine provider in Belton, Missouri, licensed in Missouri (2021030125) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164913240
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSAMANTHA DEARMONCredential: DO
Location Address17065 S OUTER RDBelton, MO 64012-2165
Mailing Address5100 Oak St Apt 241Kansas City, MO 64112-2958 · (417) 693-0304
Sole ProprietorYes
Enumeration DateMay 23, 2018
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1164913240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2021030125
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
17065 S OUTER RD, Belton, MO 64012

Secondary Practice Locations 2

Location 13901 Rainbow Blvd # MS 1045Kansas City, KS 66160-8500 · Phone (913) 588-1559
Location 25325 Faraon StSaint Joseph, MO 64506-3488 · Phone (816) 271-6122 · Fax (816) 271-6019

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samantha Dearmon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5325 FARAON ST
Saint Joseph, MO 64506
  • Reassigned Medicare billing, Missouri enrollment
  • 471 clinicians in this Medicare group
Rural Health
202 E MAIN ST
Stanberry, MO 64489
  • Reassigned Medicare billing, Missouri enrollment
  • 207 clinicians in this Medicare group
Specialist
2016 S MAIN ST
Maryville, MO 64468
  • Reassigned Medicare billing, Missouri enrollment
  • 341 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
295 services252 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
223 services217 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
189 services187 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64012 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.53
Promoting Interoperability100
Improvement Activities40
Cost56.53

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
17065 S OUTER RD
BELTON, MO 64012
Nurse Anesthetist, Certified Registered
17065 S OUTER RD
BELTON, MO 64012
Nurse Anesthetist, Certified Registered
17065 S OUTER RD
BELTON, MO 64012
Nurse Anesthetist, Certified Registered
17065 S OUTER RD
BELTON, MO 64012
Physician Assistant
17065 S OUTER RD
BELTON, MO 64012
Internal Medicine
17065 S OUTER RD
BELTON, MO 64012
Anesthesiology
17065 S OUTER RD
BELTON, MO 64012
Internal Medicine
17065 S OUTER RD
BELTON, MO 64012

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 Dearmon's NPI number?

The NPI number for Samantha Dearmon is 1164913240. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Samantha Dearmon located?

Samantha Dearmon practices at 17065 S Outer Rd, Belton, MO 64012. The listed phone number is (417) 693-0304.

What is Samantha Dearmon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samantha Dearmon enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Dearmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dearmon reassigns Medicare benefits to 3 organizations: Heartland Regional Medical Center (Saint Joseph, MO), Northwest Medical Center Association, Inc (Stanberry, MO) and Mosaic Medical Center - Maryville (Maryville, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Dearmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Dearmon accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Samantha Dearmon 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.

When was this NPI record last updated?

The NPPES record for Samantha Dearmon was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.