Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA RAY KINDSVATER D.O.
NPI 1740100114
Emergency Medicine in Charleston, SC

Q: What is Samantha Kindsvater's NPI number?

The NPI number for Samantha Kindsvater is 1740100114. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Q: What is Samantha Kindsvater's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 16, 2026PECOS Enrolled

179 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2300 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Samantha Ray Kindsvater D.o. NPPES

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

SAMANTHA RAY KINDSVATER D.O. (NPI 1740100114) is an individual emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (LL97180) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740100114

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameSAMANTHA RAY KINDSVATERCredential: D.O.

Location Address179 ASHLEY AVECharleston, SC 29425-8908

Mailing Address179 Ashley AveCharleston, SC 29425-8908

Phone(843) 792-2300

Sole ProprietorNo

Enumeration DateJuly 16, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1740100114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · LL97180

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

179 ASHLEY AVE, Charleston, SC 29425

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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 Ray Kindsvater D.o. 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 29425 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 6

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

CHARLOTTE CATHERINE MARCHELL

Student in an Organized Health Care Education/Training Program