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SAMANTHA CLARK MD
NPI 1699186841
Obstetrics & Gynecology in Orrville, OH

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
830 S MAIN ST STE 101, ORRVILLE, OH 44667(330) 684-4797(330) 684-4759 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2022, Apr 23, 2018 (2 updates tracked since 2018).

About Samantha Clark Md NPPES

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

SAMANTHA CLARK MD (NPI 1699186841) is an individual obstetrics & gynecology provider in Orrville, Ohio, licensed in Ohio (35.132336) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2014).

NPPES Registry Identity

NPI1699186841
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSAMANTHA CLARKCredential: MD
Location Address830 S MAIN ST STE 101Orrville, OH 44667-2218
Mailing Address7570 Boneta RdWadsworth, OH 44281-8403 · (330) 419-1019
Phone(330) 684-4797
Fax(330) 684-4759
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1699186841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35.132336
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
830 S MAIN ST STE 101, Orrville, OH 44667
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Samantha Clark Md 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 ID8224253810
PECOS Enrollment IDI20181004001730
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.

Hospital Affiliations CMS Care Compare 2

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361323
Location832 South Main StreetOrrville, OH 44667 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44667 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.91
Promoting Interoperability98
Improvement Activities40
Cost65.87

Other Providers at the Same Location NPPES

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

KALPANA RAGHUNATHAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
830 S MAIN ST STE 101
ORRVILLE, OH 44667
Wayne County (330) 684-1300

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 Clark's NPI number?

The NPI number for Samantha Clark is 1699186841. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Samantha Clark located?

Samantha Clark practices at 830 S Main St Ste 101, Orrville, OH 44667. The listed phone number is (330) 684-4797.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samantha Clark enrolled in Medicare?

Yes. Samantha Clark 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 Samantha Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and UnitedHealthcare list Samantha Clark 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.

Is Samantha Clark affiliated with any hospitals?

According to CMS data, Samantha Clark is affiliated with Aultman Hospital and Aultman Orrville Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.