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SAMUEL DYLAN GILLESPIE PA
NPI 1215810064
Physician Assistant in Kent, WA

Active since July 29, 2025PECOS EnrolledAccepts Medicare Assignment
17700 SE 272ND ST STE 105, KENT, WA 98042(253) 792-6555 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Dylan Gillespie Pa NPPES

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

SAMUEL DYLAN GILLESPIE PA (NPI 1215810064) is an individual physician assistant in Kent, Washington, licensed in (1227641) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Multicare Covington Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1215810064
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL DYLAN GILLESPIECredential: PA
Location Address17700 SE 272ND ST STE 105Kent, WA 98042-4951
Mailing Address17700 Se 272nd St Ste 105Covington, WA 98042-4951
Phone(253) 792-6555
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2025
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1215810064 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 · 1227641
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.
17700 SE 272ND ST STE 105, Kent, WA 98042
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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 Dylan Gillespie Pa 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 ID1153802590
PECOS Enrollment IDI20260224003827
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

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

Multicare Covington Medical Center

Acute Care Hospitals · Covington, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500154
Location17700 SE 272nd StCovington, WA 98042 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98042 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 Samuel Gillespie's NPI number?

The NPI number for Samuel Gillespie is 1215810064. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Samuel Gillespie located?

Samuel Gillespie practices at 17700 SE 272nd St Ste 105, Kent, WA 98042. The listed phone number is (253) 792-6555.

What is Samuel Gillespie's specialty?

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

Is Samuel Gillespie enrolled in Medicare?

Yes. Samuel Gillespie 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.

Is Samuel Gillespie affiliated with any hospitals?

According to CMS data, Samuel Gillespie is affiliated with Multicare Covington Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Gillespie was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.