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

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: August 02, 2026.

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

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.

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
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 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
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 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.

Where is Samantha Blaine located?

Samantha Blaine practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-3880.

What is Samantha Blaine's specialty?

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

Is Samantha Blaine enrolled in Medicare?

Yes. Samantha Blaine is registered in the Medicare PECOS enrollment system.

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 2 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.