SAMUEL OLIVER STARKE IRVINE JR. PA-C
NPI 1376590059
Physician Assistant in Montgomery, AL

Q: What is Samuel Irvine's NPI number?

The NPI number for Samuel Irvine is 1376590059. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Samuel Irvine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Irvine was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment

454 TAYLOR RD, MONTGOMERY, AL 36117(334) 613-9000(334) 532-0056 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Oliver Starke Irvine Jr. Pa-c NPPES

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

SAMUEL OLIVER STARKE IRVINE JR. PA-C (NPI 1376590059) is an individual physician assistant in Montgomery, Alabama, licensed in Alabama (PA.189) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1376590059

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL OLIVER STARKE IRVINE JR.Credential: PA-C

Location Address454 TAYLOR RDMontgomery, AL 36117-3563

Mailing Address454 Taylor RdMontgomery, AL 36117-3563 · (334) 613-9000 · Fax (334) 532-0056

Phone(334) 613-9000

Fax(334) 532-0056

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateMay 28, 2006

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1376590059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AL · PA.189

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-189 (AL)

454 TAYLOR RD, Montgomery, AL 36117

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Secondary Practice Location 1

Location 12871 acton road, suite 100Birmingham, AL 35243-2560 · Phone (205) 939-0023 · Fax (205) 939-4180

Other Identifiers 6

Medicaid009934027AL

Medicaid009989995AL

Medicaid009989985AL

Other051001143AL · Blue Cross - 860 Mont Rd

Other051001307AL · Blue Cross - 48 Med Park

Other051001308AL · Blue Cross - 2660 10th Av

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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 Oliver Starke Irvine Jr. 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 ID143261842

PECOS Enrollment IDI20050512000489

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

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 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.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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 20

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

MANUEL ESCOBAR NP

Nurse Practitioner (Family)