SAMANTHA MARIE MCDERMOTT DMD
NPI 1750084794
Dentist - Pediatric Dentistry in Clifton Park, NY

Active since March 27, 2023PECOS Enrolled
713 PIERCE RD, CLIFTON PARK, NY 12065(518) 373-1181 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Oct 7, 2024, Mar 27, 2023 (3 updates tracked since 2023).

About Samantha Marie Mcdermott Dmd NPPES

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

SAMANTHA MARIE MCDERMOTT DMD (NPI 1750084794) is an individual pediatric dentistry provider in Clifton Park, New York, licensed in New York (64196) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750084794
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSAMANTHA MARIE MCDERMOTTCredential: DMD
Location Address713 PIERCE RDClifton Park, NY 12065
Mailing Address713 Pierce RdClifton Park, NY 12065 · (518) 373-1181 · Fax (518) 395-9431
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1750084794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 64196
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 064196 (NY)
713 PIERCE RD, Clifton Park, NY 12065

Other Identifiers 3

Other53099ANY · Medicare Pin
Other331833NY · Medicare Oscar
Medicaid02995513NY

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 (PECOS)

Samantha Marie Mcdermott Dmd 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 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (General Practice)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065

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 Mcdermott's NPI number?

The NPI number for Samantha Mcdermott is 1750084794. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Samantha Mcdermott located?

Samantha Mcdermott practices at 713 Pierce Rd, Clifton Park, NY 12065. The listed phone number is (518) 373-1181.

What is Samantha Mcdermott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Samantha Mcdermott enrolled in Medicare?

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

What insurance does Samantha Mcdermott accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Samantha Mcdermott 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.

When was this NPI record last updated?

The NPPES record for Samantha Mcdermott was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.