SAMANTHA SPANN MCCORMICK PA-C
NPI 1710457023
Physician Assistant - Medical in Dallas, TX

Active since November 29, 2018PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5303 HARRY HINES BLVD FL 8, DALLAS, TX 75390(214) 645-8800 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2020, Apr 21, 2020, Nov 29, 2018 (3 updates tracked since 2018).

About Samantha Spann Mccormick Pa-c NPPES

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

SAMANTHA SPANN MCCORMICK PA-C (NPI 1710457023) is an individual medical provider in Dallas, Texas, licensed in Texas (PA12210) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710457023
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA SPANN MCCORMICKCredential: PA-C
Location Address5303 HARRY HINES BLVD FL 8Dallas, TX 75390-7208
Mailing Address5303 Harry Hines Blvd Fl 8Dallas, TX 75390-7208 · (214) 645-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 29, 2018
Last NPPES UpdateJune 9, 20203 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
NPI 1710457023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA12210
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License PA12210 (TX)
5303 HARRY HINES BLVD FL 8, Dallas, TX 75390

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

Samantha Spann Mccormick Pa-c 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 ID1456776509
PECOS Enrollment IDI20200806000326
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 5

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
13,200 services32 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
71 services34 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.
62 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Epilepsy)
5303 HARRY HINES BLVD FL 8
DALLAS, TX 75390
Nurse Practitioner
5303 HARRY HINES BLVD FL 8
DALLAS, TX 75390
Social Worker (Clinical)
5303 HARRY HINES BLVD FL 8
DALLAS, TX 75390

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 Mccormick's NPI number?

The NPI number for Samantha Mccormick is 1710457023. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Samantha Mccormick located?

Samantha Mccormick practices at 5303 Harry Hines Blvd Fl 8, Dallas, TX 75390. The listed phone number is (214) 645-8800.

What is Samantha Mccormick's specialty?

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

Is Samantha Mccormick enrolled in Medicare?

Yes. Samantha Mccormick 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 Mccormick accept?

Health plans from Blue Cross and Blue Shield of Texas list Samantha Mccormick 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 Mccormick affiliated with any hospitals?

According to CMS data, Samantha Mccormick is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Samantha Mccormick was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.