SAMANTHA BLAINE MD
NPI 1497440036
Emergency Medicine in Stony Brook, NY

Q: What is Samantha Blaine's NPI number?

The NPI number for Samantha Blaine is 1497440036. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Samantha Blaine's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Blaine was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 10, 2023PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-3880(631) 444-3919 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2026, Apr 10, 2023 (2 updates tracked since 2023).

On this page

About Samantha Blaine Md NPPES

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

SAMANTHA BLAINE MD (NPI 1497440036) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (342260) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497440036

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameSAMANTHA BLAINECredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-8350

Mailing Address101 Nicolls Road, Hsc Level 4 Room 050Stony Brook, NY 11794-8350 · (631) 444-3880 · Fax (631) 444-3919

Phone(631) 444-3880

Fax(631) 444-3919

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 10, 2023

Last NPPES UpdateMay 23, 20262 updates tracked since enumeration

NPPES CertifiedMay 23, 2026

✔ NPI 1497440036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 342260

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

101 NICOLLS RD, Stony Brook, NY 11794

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Blaine Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668937954

PECOS Enrollment IDI20260717000863

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Blaine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Emergency Physicians, University Faculty Practice Corporat

0.5 mi

Emergency Medicine

SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515
Stony Brook, NY 11794

Reassigned Medicare billing, New York enrollment
77 clinicians in this Medicare group

NPI 1265487672 (631) 444-2406

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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.

NARINDER SINGH M.D.

Internal Medicine