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SAMBATH RIN P.A
NPI 1306064142
Physician Assistant in Lake Wales, FL

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
320 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 679-7985(863) 679-1865 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sambath Rin P.a NPPES

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

SAMBATH RIN P.A (NPI 1306064142) is an individual physician assistant in Lake Wales, Florida, licensed in Ohio (50-001740) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1306064142
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMBATH RINCredential: P.A
Location Address320 STATE ROAD 60 ELake Wales, FL 33853-3750
Mailing Address320 State Road 60 ELake Wales, FL 33853-3750 · (863) 679-7985 · Fax (863) 679-1865
Phone(863) 679-7985
Fax(863) 679-1865
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 24, 2007
Last NPPES UpdateApril 5, 2016
✔ NPI 1306064142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50-001740✔ Licensed in FL · PA9104044
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.
320 STATE ROAD 60 E, Lake Wales, FL 33853
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Other Identifiers 2

Medicare UPINP68299
Medicare PINRIPA19595OH

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

Sambath Rin P.a 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 ID7012018443
PECOS Enrollment IDI20071219000003
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

ADVANCED INTERVENTIONAL CARDIOLOGY CONSULTANTS
Internal Medicine (Cardiovascular Disease)
320 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 679-7985
DR. BORIS DALTON NUNEZ M.D.
Internal Medicine (Cardiovascular Disease)
320 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 679-7985
LOZANO INTERNAL MEDICINE LLC
Internal Medicine
320 STATE ROAD 60 E, STE 301
LAKE WALES, FL 33853
Polk County (863) 678-1400

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 Sambath Rin's NPI number?

The NPI number for Sambath Rin is 1306064142. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Sambath Rin located?

Sambath Rin practices at 320 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 679-7985.

What is Sambath Rin's specialty?

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

Is Sambath Rin enrolled in Medicare?

Yes. Sambath Rin 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.

When was this NPI record last updated?

The NPPES record for Sambath Rin was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.