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SAMANTHA DEBEVEC PA
NPI 1477929891
Physician Assistant - Surgical in Fort Worth, TX

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
1001 12TH AVE STE 171, FORT WORTH, TX 76104(817) 576-6500 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Debevec Pa NPPES

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

SAMANTHA DEBEVEC PA (NPI 1477929891) is an individual surgical provider in Fort Worth, Texas and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1477929891
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA DEBEVECCredential: PA
Location Address1001 12TH AVE STE 171Fort Worth, TX 76104-3926
Mailing Address3113 Sondra Dr Apt C304Fort Worth, TX 76107-1894 · (337) 224-2832
Phone(817) 576-6500
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 19, 2015
Last NPPES UpdateOctober 7, 2019
✔ NPI 1477929891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1001 12TH AVE STE 171, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Locations 5

Location 16750 N MacArthur Blvd Ste 270Irving, TX 75039-2469 · Phone (940) 800-1920 · Fax (866) 741-2621
Location 2500 W Main St Ste 200Lewisville, TX 75057-3639 · Phone (940) 800-1920 · Fax (866) 741-2621
Location 33025 N Tarrant Pkwy Ste 220Fort Worth, TX 76177-8629 · Phone (940) 800-1920 · Fax (866) 741-2621
Location 43537 S Interstate 35 E Ste 112Denton, TX 76210-6868 · Phone (940) 800-1920 · Fax (866) 741-2621
Location 51600 Coit Rd Ste 306Plano, TX 75075-6172 · Phone (940) 800-1920 · Fax (866) 741-2621

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Samantha Debevec Pa 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 ID3779892799
PECOS Enrollment IDI20220629003424
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 3

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.
49 services35 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
20 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

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.

NEUROSURGICAL AND SPINE CONSULTANTS, PA
Specialist
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500
DR. DIANA ELIZABETH WILSON M.D.
Neurological Surgery
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500
KAYLA MILTON NP
Nurse Practitioner (Family)
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500

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 Samantha Debevec's NPI number?

The NPI number for Samantha Debevec is 1477929891. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Samantha Debevec located?

Samantha Debevec practices at 1001 12th Ave Ste 171, Fort Worth, TX 76104. The listed phone number is (817) 576-6500.

What is Samantha Debevec's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Debevec enrolled in Medicare?

Yes. Samantha Debevec 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 Samantha Debevec accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Samantha Debevec 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 Samantha Debevec affiliated with any hospitals?

According to CMS data, Samantha Debevec is affiliated with Ochsner Medical Center Acute, St Charles Parish Hospital and Ochsner Medical Center-Kenner.

When was this NPI record last updated?

The NPPES record for Samantha Debevec was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.