SAMANTHA K EZOLT PA-C
NPI 1245885482
Physician Assistant - Medical in Hagerstown, MD

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment
98.11/100
CMS Quality Rating
13 WESTERN MARYLAND PKWY STE 104, HAGERSTOWN, MD 21740(301) 665-4575(301) 665-4576 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Feb 11, 2020, Feb 6, 2020 and 1 more (4 updates tracked since 2019).

About Samantha K Ezolt Pa-c NPPES

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

SAMANTHA K EZOLT PA-C (NPI 1245885482) is an individual medical provider in Hagerstown, Maryland and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245885482
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA K EZOLTCredential: PA-C
Location Address13 WESTERN MARYLAND PKWY STE 104Hagerstown, MD 21740-6474
Mailing Address13 Western Maryland Pkwy Ste 104Hagerstown, MD 21740-6474 · (301) 665-4575 · Fax (301) 665-4576
Fax(301) 665-4576
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 5, 2019
Last NPPES UpdateDecember 1, 20214 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1245885482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
13 WESTERN MARYLAND PKWY STE 104, Hagerstown, MD 21740

Other Names 1

Former Name (1)Samantha K Engle Pa-c

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

Samantha K Ezolt 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 ID1254769193
PECOS Enrollment IDI20221114001066
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.

Areas of Expertise CMS Part B claims 3

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.

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
26 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

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.

98.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.56
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Orthopaedic Surgery
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Orthopaedic Surgery (Hand Surgery)
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Orthopaedic Surgery (Sports Medicine)
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Orthopaedic Surgery
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Physician Assistant
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Orthopaedic Surgery (Hand Surgery)
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Physician Assistant
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740
Orthopaedic Surgery (Hand Surgery)
13 WESTERN MARYLAND PKWY STE 104
HAGERSTOWN, MD 21740

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 Ezolt's NPI number?

The NPI number for Samantha Ezolt is 1245885482. It was assigned to this individual provider in the NPPES registry on August 5, 2019. The provider is also known as Samantha K Engle Pa-C.

Where is Samantha Ezolt located?

Samantha Ezolt practices at 13 Western Maryland Pkwy Ste 104, Hagerstown, MD 21740. The listed phone number is (301) 665-4575.

What is Samantha Ezolt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Ezolt enrolled in Medicare?

Yes. Samantha Ezolt 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 Samantha Ezolt affiliated with any hospitals?

According to CMS data, Samantha Ezolt is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Samantha Ezolt was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.