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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: October 18, 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 and maintains 2 additional practice locations.

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
Phone(518) 373-1181
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1713 Pierce RdClifton Park, NY 12065-1302 · Phone (518) 373-1181
Location 21044 State StSchenectady, NY 12307-1508 · Phone (518) 370-1441

Other Identifiers 3

Other53099ANY · Medicare Pin
Other331833NY · Medicare Oscar
Medicaid02995513NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Mcdermott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schenectady Family Health Services, Inc.
9.7 mi
Family Medicine
1044 STATE ST
Schenectady, NY 12307
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
NPI 1396711982 (518) 370-1441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. LAUREN ALYCE GEFFEN DDS
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
MEGAN MCMAHON D.D.S.
Dentist (General Practice)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
CHRISTOPHER GOODEMOTE
Dentist
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
SANGMEE KIM DDS
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
DR. CAROL ONYANGO MIDDERNACHT D.M.D
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
DR. JAMES BROOKE LEWIS D.M.D.
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
LAWRENCE CHEN
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181
CAROLINE THOMAS DMD
Dentist (Pediatric Dentistry)
713 PIERCE RD
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1181

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.

Which organization bills Medicare for Samantha Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mcdermott reassigns Medicare benefits to Schenectady Family Health Services, Inc. (Schenectady, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 Humana and 2 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 10 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.