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SAMANTHA GOMOLKA PA
NPI 1619307121
Physician Assistant - Medical in Orchard Park, NY

Active since November 19, 2013
3045 SOUTHWESTERN BLVD STE 104, ORCHARD PARK, NY 14127(716) 675-7000(716) 674-4659 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Gomolka Pa NPPES

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

SAMANTHA GOMOLKA PA (NPI 1619307121) is an individual medical provider in Orchard Park, New York, licensed in West Virginia (01763) and active in the NPI registry since November 2013. She maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1619307121
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA GOMOLKACredential: PA
Location Address3045 SOUTHWESTERN BLVD STE 104Orchard Park, NY 14127
Mailing Address3045 Southwestern Blvd Ste 104Orchard Park, NY 14127-1209 · (716) 675-7000 · Fax (716) 674-4659
Phone(716) 675-7000
Fax(716) 674-4659
Sole ProprietorNo
Enumeration DateNovember 19, 2013
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1619307121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WV · 01763
3045 SOUTHWESTERN BLVD STE 104, Orchard Park, NY 14127
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Secondary Practice Location 1

Location 15187 US Route 60 Ste 11Huntington, WV 25705-2076 · Phone (304) 399-5437 · Fax (304) 399-1104

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%94 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%133 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MEGHAN MARIE BALLOU PA-C
Physician Assistant
3045 SOUTHWESTERN BLVD STE 104
ORCHARD PARK, NY 14127
Erie County (716) 675-7000
MS. SUSAN M. PETERSON P.A.
Physician Assistant
3045 SOUTHWESTERN BLVD STE 104
ORCHARD PARK, NY 14127
Erie County (716) 675-7000
EMILY E GOTTSTEIN RPAC
Physician Assistant
3045 SOUTHWESTERN BLVD STE 104
ORCHARD PARK, NY 14127
Erie County (716) 675-7000
DR. PETER ACCETTA M.D.
Dermatology
3045 SOUTHWESTERN BLVD STE 104
ORCHARD PARK, NY 14127
Erie County (716) 675-7000

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 Gomolka's NPI number?

The NPI number for Samantha Gomolka is 1619307121. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Samantha Gomolka located?

Samantha Gomolka practices at 3045 Southwestern Blvd Ste 104, Orchard Park, NY 14127. The listed phone number is (716) 675-7000.

What is Samantha Gomolka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Samantha Gomolka was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.