AMELIA SAMUELSON PA-C
NPI 1780298570
Physician Assistant in Springfield, OH

Q: What is Amelia Samuelson's NPI number?

The NPI number for Amelia Samuelson is 1780298570. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Amelia Samuelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amelia Samuelson was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment

75.15/100

CMS Quality Rating

30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504(937) 523-9820(937) 523-9829 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Mar 25, 2021, Aug 31, 2020 (3 updates tracked since 2020).

On this page

About Amelia Samuelson Pa-c NPPES

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

AMELIA SAMUELSON PA-C (NPI 1780298570) is an individual physician assistant in Springfield, Ohio, licensed in Ohio (50.006358RX) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1780298570

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMELIA SAMUELSONCredential: PA-C

Location Address30 W MCCREIGHT AVE STE 106Springfield, OH 45504-1853

Mailing Address30 W Mccreight Ave Ste 106Springfield, OH 45504-1853 · (937) 523-9820 · Fax (937) 523-9829

Phone(937) 523-9820

Fax(937) 523-9829

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 31, 2020

Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1780298570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.006358RX

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.

30 W MCCREIGHT AVE STE 106, Springfield, OH 45504

Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 McKinley Park DrMarion, OH 43302-6399 · Phone (740) 383-8747 · Fax (740) 382-6469

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance, UnitedHealthcare.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

Amelia Samuelson 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 ID1052728896

PECOS Enrollment IDI20210323002774

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.

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

75.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.24

Promoting Interoperability

Improvement Activities

Cost

59.25

Other Providers at the Same Location NPPES 7

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

LEANNE MARGARET CASSERLIE PA-C

Physician Assistant