BENJAMIN SITHEN SAM PA
NPI 1609116144
Physician Assistant in Buda, TX

Active since February 20, 2013PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Sithen Sam Pa NPPES

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

BENJAMIN SITHEN SAM PA (NPI 1609116144) is an individual physician assistant in Buda, Texas, licensed in Texas (PA08109) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609116144
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN SITHEN SAMCredential: PA
Location Address220 S FM 1626Buda, TX 78610-9432
Mailing Address220 S Fm 1626Buda, TX 78610-9432 · (512) 295-2437
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 20, 2013
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
NPI 1609116144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA08109
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.

220 S FM 1626, Buda, TX 78610

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 and accepts Medicare assignment

Benjamin Sithen Sam 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 ID7618116567
PECOS Enrollment IDI20130625000619
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
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.
14 services12 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78610 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

Other Providers at the Same Location NPPES 12

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

Pharmacist (Ambulatory Care)
220 S FM 1626
BUDA, TX 78610
Nurse Practitioner (Family)
220 S FM 1626
BUDA, TX 78610
Nurse Practitioner (Family)
220 S FM 1626
BUDA, TX 78610
Pharmacy
220 S FM 1626
BUDA, TX 78610
Nurse Practitioner (Family)
220 S FM 1626
BUDA, TX 78610
Pharmacist
220 S FM 1626
BUDA, TX 78610
Nurse Practitioner (Family)
220 S FM 1626
BUDA, TX 78610
Nurse Practitioner (Family)
220 S FM 1626
BUDA, TX 78610

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 Benjamin Sam's NPI number?

The NPI number for Benjamin Sam is 1609116144. It was assigned to this individual provider in the NPPES registry on February 20, 2013.

Where is Benjamin Sam located?

Benjamin Sam practices at 220 S Fm 1626, Buda, TX 78610. The listed phone number is (512) 295-2437.

What is Benjamin Sam's specialty?

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

Is Benjamin Sam enrolled in Medicare?

Yes. Benjamin Sam 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 Benjamin Sam accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Benjamin Sam 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 Benjamin Sam was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.