SAMUEL ALLAN WADDELL PA-C
NPI 1194033803
Physician Assistant in Pittsburg, TX

Q: What is Samuel Waddell's NPI number?

The NPI number for Samuel Waddell is 1194033803. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Samuel Waddell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Waddell was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

2701 US HIGHWAY 271 N, PITTSBURG, TX 75686(903) 946-5442(903) 946-5258 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Allan Waddell Pa-c NPPES

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

SAMUEL ALLAN WADDELL PA-C (NPI 1194033803) is an individual physician assistant in Pittsburg, Texas, licensed in Texas (PA06784) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194033803

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL ALLAN WADDELLCredential: PA-C

Location Address2701 US HIGHWAY 271 NPittsburg, TX 75686-4289

Mailing Address2701 Us Highway 271 NPittsburg, TX 75686-4289 · (903) 946-5442 · Fax (903) 946-5258

Phone(903) 946-5442

Fax(903) 946-5258

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 15, 2010

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1194033803 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 in TX · PA06784

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.

2701 US HIGHWAY 271 N, Pittsburg, TX 75686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Allan Waddell Pa-c 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 ID6507047313

PECOS Enrollment IDI20110228000574

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 3

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

The University Of Texas Health Science Center At Tyler

Acute Care Hospitals · Tyler, TX

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450690

Location11937 Us Highway 271Tyler, TX 75708 · Smith County

Emergency services

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number451367

Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75686 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers43 claims97 services$5.96 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers17 claims17 services$2.42 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers29 claims33 services$1.01 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers22 claims23 services$17.28 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$47.84 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers26 claims27 services$91.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

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