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SAMANTHA DEMOSS
NPI 1629605480
Surgery in Mooresville, IN

Active since March 23, 2020PECOS Enrolled
1215 HADLEY RD STE 201, MOORESVILLE, IN 46158(317) 834-9618(317) 831-9467 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Aug 12, 2020, Mar 23, 2020 (3 updates tracked since 2020).

About Samantha Demoss NPPES

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

SAMANTHA DEMOSS (NPI 1629605480) is an individual surgery provider in Mooresville, Indiana, licensed in Illinois (125.075907) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629605480
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSAMANTHA DEMOSS
Location Address1215 HADLEY RD STE 201Mooresville, IN 46158-2907
Mailing Address1215 Hadley Rd Ste 201Mooresville, IN 46158-2907 · (317) 834-9618
Phone(317) 834-9618
Fax(317) 831-9467
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1629605480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 125.075907✔ Licensed in IN · 01095693B
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 HADLEY RD STE 201, Mooresville, IN 46158
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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 Demoss 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 46158 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

DIPEN CHAMPAKLAL MAUN M.D.
Colon & Rectal Surgery
1215 HADLEY RD STE 201
MOORESVILLE, IN 46158
Morgan County (317) 834-2020
DR. THOMAS PATRICK SCHERMOLY DO
Colon & Rectal Surgery
1215 HADLEY RD STE 201
MOORESVILLE, IN 46158
Morgan County (317) 834-9618
DR. R. BARRY MELBERT M.D.
Colon & Rectal Surgery
1215 HADLEY RD STE 201
MOORESVILLE, IN 46158
Morgan County (317) 834-2020
JOSEPH SEUNGHYUN LIM D.O.
Colon & Rectal Surgery
1215 HADLEY RD STE 201
MOORESVILLE, IN 46158
Morgan County (317) 834-9618

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 Demoss's NPI number?

The NPI number for Samantha Demoss is 1629605480. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Samantha Demoss located?

Samantha Demoss practices at 1215 Hadley Rd Ste 201, Mooresville, IN 46158. The listed phone number is (317) 834-9618.

What is Samantha Demoss's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samantha Demoss enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Demoss was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.