SAMANTHA TAYLOR PENDLETON DO, MHA
NPI 1780323501
Pediatrics in Springfield, MA
About Samantha Taylor Pendleton Do, Mha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA TAYLOR PENDLETON DO, MHA (NPI 1780323501) is an individual pediatrics provider in Springfield, Massachusetts, licensed in Massachusetts (1027823) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Taylor Pendleton Do, Mha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Pendleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
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 01107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
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 Pendleton's NPI number?
The NPI number for Samantha Pendleton is 1780323501. It was assigned to this individual provider in the NPPES registry on May 31, 2022.
Where is Samantha Pendleton located?
Samantha Pendleton practices at 759 Chestnut St Ste C3358, Springfield, MA 01107. The listed phone number is (413) 794-2398.
What is Samantha Pendleton's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Samantha Pendleton enrolled in Medicare?
Yes. Samantha Pendleton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Pendleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pendleton reassigns Medicare benefits to Baystate Medical Practices, Inc (Springfield, MA). 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 Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Pendleton was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Taylor Pendleton, DO, MHA · NPI 1780323501
Pediatrics physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since May 31, 2022.
## Identity
- **NPI:** 1780323501 (Entity type: Individual)
- **Enumerated:** May 31, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1027823 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 759 CHESTNUT ST STE C3358, Springfield, MA 01107-1619
- **Phone:** (413) 794-2398 · **Fax:** (413) 794-1273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2022
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780323501) · Data from the CMS NPPES public registry.