SAMARA ELISE POLLOCK MD
NPI 1184201295
Dermatology in Philadelphia, PA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
1516 LOCUST ST, PHILADELPHIA, PA 19102(215) 545-5459 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Sep 25, 2022, Mar 25, 2021 (3 updates tracked since 2021).

About Samara Elise Pollock Md NPPES

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

SAMARA ELISE POLLOCK MD (NPI 1184201295) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489003) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1184201295
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSAMARA ELISE POLLOCKCredential: MD
Location Address1516 LOCUST STPhiladelphia, PA 19102-4409
Mailing Address1516 Locust StPhiladelphia, PA 19102-4409 · (843) 792-2575
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1184201295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD489003
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1516 LOCUST ST, Philadelphia, PA 19102

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

Samara Elise Pollock Md 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 ID4880063817
PECOS Enrollment IDI20250904004602
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 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 6

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

Dermatology
1516 LOCUST ST
PHILADELPHIA, PA 19102
Physician Assistant (Medical)
1516 LOCUST ST
PHILADELPHIA, PA 19102
Ophthalmology
1516 LOCUST ST
PHILADELPHIA, PA 19102
Dermatology
1516 LOCUST ST
PHILADELPHIA, PA 19102
Specialist
1516 LOCUST ST
PHILADELPHIA, PA 19102
Dermatology
1516 LOCUST ST
PHILADELPHIA, PA 19102

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 Samara Pollock's NPI number?

The NPI number for Samara Pollock is 1184201295. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Samara Pollock located?

Samara Pollock practices at 1516 Locust St, Philadelphia, PA 19102. The listed phone number is (215) 545-5459.

What is Samara Pollock's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Samara Pollock enrolled in Medicare?

Yes. Samara Pollock 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.

When was this NPI record last updated?

The NPPES record for Samara Pollock was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.