DR. SAMANTHA LONG DO, MS
NPI 1255917639
Family Medicine in Beavercreek, OH

Q: What is Samantha Long's NPI number?

The NPI number for Samantha Long is 1255917639. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Samantha Long's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Long was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment

2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Mar 24, 2021 (2 updates tracked since 2021).

On this page

About Dr. Samantha Long Do, Ms NPPES

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

DR. SAMANTHA LONG DO, MS (NPI 1255917639) is an individual family medicine provider in Beavercreek, Ohio, licensed in Ohio (34.018272) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Ohio University, College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1255917639

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SAMANTHA LONGCredential: DO, MS

Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783

Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900 · Fax (937) 558-3999

Phone(937) 558-3900

Fax(937) 558-3999

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1255917639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.018272

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Long Do, Ms 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 ID5597174490

PECOS Enrollment IDI20251118003939

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 Reassignment

Medicare enrollment records show Samantha Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Physicians Inc

0.3 mi

Family Medicine

3359 KEMP RD, SUITE 100
Beavercreek, OH 45431

Reassigned Medicare billing, Ohio enrollment
364 clinicians in this Medicare group

NPI 1891049722 (937) 562-2290

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

Hospital Affiliations CMS Care Compare

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 20

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

MATEO ALBERTO LEAL RODRIGUEZ MD

Student in an Organized Health Care Education/Training Program