SAMUEL WILLIAM PACKHAM PA-C
NPI 1275315525
Physician Assistant in Salem, OR

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment
960 LIBERTY ST SE STE 200, SALEM, OR 97302(503) 399-0652 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Oct 19, 2023 (2 updates tracked since 2023).

About Samuel William Packham Pa-c NPPES

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

SAMUEL WILLIAM PACKHAM PA-C (NPI 1275315525) is an individual physician assistant in Salem, Oregon, licensed in Oregon (PA222588) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1275315525
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL WILLIAM PACKHAMCredential: PA-C
Location Address960 LIBERTY ST SE STE 200Salem, OR 97302-4195
Mailing Address2957 Glen Eagles RdLake Oswego, OR 97034-2737 · (971) 386-8399
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 19, 2023
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1275315525 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 OR · PA222588
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.

960 LIBERTY ST SE STE 200, Salem, OR 97302

Secondary Practice Location 1

Location 1545 SE Oak St Ste FHillsboro, OR 97123-4147 · Phone (971) 228-8855

Accepted 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 William Packham 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 ID3173046729
PECOS Enrollment IDI20250325001675
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.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380014
Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381317
Location1000 Third StreetTillamook, OR 97141 · Tillamook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 4

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

Internal Medicine (Rheumatology)
960 LIBERTY ST SE STE 200
SALEM, OR 97302
Internal Medicine (Rheumatology)
960 LIBERTY ST SE STE 200
SALEM, OR 97302
Physician Assistant
960 LIBERTY ST SE STE 200
SALEM, OR 97302
Physician Assistant (Medical)
960 LIBERTY ST SE STE 200
SALEM, OR 97302

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 Packham's NPI number?

The NPI number for Samuel Packham is 1275315525. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is Samuel Packham located?

Samuel Packham practices at 960 Liberty St SE Ste 200, Salem, OR 97302. The listed phone number is (503) 399-0652.

What is Samuel Packham's specialty?

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

Is Samuel Packham enrolled in Medicare?

Yes. Samuel Packham 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.

What insurance does Samuel Packham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Packham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Packham affiliated with any hospitals?

According to CMS data, Samuel Packham is affiliated with Good Samaritan Regional Medical Center, Salem Hospital and Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Samuel Packham was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.