BRANTON SAMSON DDS
NPI 1386487734
Dentist - General Practice in Fort Wayne, IN

Active since June 14, 2024PECOS Enrolled
1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641(260) 426-0270 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Jun 14, 2024 (2 updates tracked since 2024).

About Branton Samson Dds NPPES

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

BRANTON SAMSON DDS (NPI 1386487734) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12014710A) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa College Of Dentistry (2024).

NPPES Registry Identity

NPI1386487734
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRANTON SAMSONCredential: DDS
Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257
Mailing Address6619 Brotherhood WayFort Wayne, IN 46825-4226 · (260) 739-1116 · Fax (260) 426-0270
Fax(260) 426-0270
Sole ProprietorNo
Medical School CMSUniversity Of Iowa College Of DentistryGraduated 2024
Enumeration DateJune 14, 2024
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1386487734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12014710A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1717 S CALHOUN ST, Fort Wayne, IN 46802

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 (PECOS)

Branton Samson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325581994
PECOS Enrollment IDI20250807001439
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Physician Assistant
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Optometrist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Nurse Practitioner (Women's Health)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802

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 Branton Samson's NPI number?

The NPI number for Branton Samson is 1386487734. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Branton Samson located?

Branton Samson practices at 1717 S Calhoun St, Fort Wayne, IN 46802. The listed phone number is (260) 458-2641.

What is Branton Samson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Branton Samson enrolled in Medicare?

Yes. Branton Samson is registered in the Medicare PECOS enrollment system.

What insurance does Branton Samson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 5 other insurers list Branton Samson 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.

When was this NPI record last updated?

The NPPES record for Branton Samson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.