MR. DERICK NGUFOR SAMAFUHBI PA-C
NPI 1770972184
Physician Assistant in Liberal, KS

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
315 W 15TH ST, LIBERAL, KS 67901(620) 629-6477(620) 629-6651 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 10, 2025, Jan 9, 2023, Dec 20, 2021 and 2 more (5 updates tracked since 2016).

About Mr. Derick Ngufor Samafuhbi Pa-c NPPES

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

MR. DERICK NGUFOR SAMAFUHBI PA-C (NPI 1770972184) is an individual physician assistant in Liberal, Kansas, licensed in Kansas (1501801) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospital Manhattan, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770972184
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DERICK NGUFOR SAMAFUHBICredential: PA-C
Location Address315 W 15TH STLiberal, KS 67901-2455
Mailing AddressPo Box 1215, Attn Clinic Billing OfficeLiberal, KS 67905-1215 · (620) 629-6638 · Fax (620) 629-6684
Fax(620) 629-6651
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 22, 2015
Last NPPES UpdateNovember 10, 20255 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1770972184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KS · 1501801 Licensed in ME · PA2321 Licensed in GA · 8803 Licensed in VA · 0110005063 Licensed in NY · 024081-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
315 W 15TH ST, Liberal, KS 67901

Secondary Practice Locations 4

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937 · Fax (207) 283-7018
Location 222 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-4618 · Fax (207) 662-6254
Location 3400 Sentara Cir Ste 320Williamsburg, VA 23188-5716 · Phone (757) 345-4300 · Fax (757) 510-9190
Location 425 June StSanford, ME 04073-2621 · Phone (207) 324-4310

Other Identifiers 2

Medicaid200631770AOK
Medicaid201134920AKS

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

Mr. Derick Ngufor Samafuhbi 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 ID1759697360
PECOS Enrollment IDI20160414001655, I20200813000300
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Via Christi Hospital Manhattan, Inc

Acute Care Hospitals · Manhattan, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170142
Location1823 College AveManhattan, KS 66502 · Riley County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67901 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%185 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers16 claims16 services$18.43 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers42 claims42 services$899.95 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$5.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers42 claims42 services$105.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Internal Medicine
315 W 15TH ST
LIBERAL, KS 67901
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Marriage & Family Therapist
315 W 15TH ST, BOX 1340
LIBERAL, KS 67901
Radiology (Pediatric Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Pharmacist
315 W 15TH ST
LIBERAL, KS 67901
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901

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 Derick Samafuhbi's NPI number?

The NPI number for Derick Samafuhbi is 1770972184. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Derick Samafuhbi located?

Derick Samafuhbi practices at 315 W 15th St, Liberal, KS 67901. The listed phone number is (620) 629-6477.

What is Derick Samafuhbi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derick Samafuhbi enrolled in Medicare?

Yes. Derick Samafuhbi 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 Derick Samafuhbi accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas, Inc. list Derick Samafuhbi 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 Derick Samafuhbi affiliated with any hospitals?

According to CMS data, Derick Samafuhbi is affiliated with Ascension Via Christi Hospital Manhattan, Inc, Maine Medical Center and Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Derick Samafuhbi was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.