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SAMANTHA CHILDERS DPM
NPI 1790837425
Podiatrist - Foot & Ankle Surgery in Roanoke, TX

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
90.62/100
CMS Quality Rating
351 W. BYRON NELSON BLVD, SUITE 100, ROANOKE, TX 76262(415) 602-2048 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2020, Oct 22, 2019, Jun 6, 2019 and 2 more (5 updates tracked since 2016).

About Samantha Childers Dpm NPPES

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

SAMANTHA CHILDERS DPM (NPI 1790837425) is an individual foot & ankle surgery provider in Roanoke, Texas, licensed in Texas (1931) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1790837425
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSAMANTHA CHILDERSCredential: DPM
Location Address351 W. BYRON NELSON BLVD, SUITE 100Roanoke, TX 76262
Mailing Address1224 N Highway 377 # 303-151Roanoke, TX 76262-9103 · (817) 674-7494 · Fax (855) 880-6990
Phone(415) 602-2048
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 30, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1790837425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TX · 1931
351 W. BYRON NELSON BLVD, Roanoke, TX 76262
Open in Google Maps ↗

Secondary Practice Location 1

Location 11713 S Fm 51, Suite 103Decatur, TX 76234-3642 · Phone (940) 627-6976 · Fax (940) 627-3491

Other Identifiers 2

Medicaid355509601TX
Other#8FV228TX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Samantha Childers Dpm 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 ID749355352
PECOS Enrollment IDI20160210002812
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 Reassignments

2

Medicare enrollment records show Samantha Childers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roanoke Foot & Ankle Institute, PLLC
0.1 mi
Foot & Ankle Surgery
351 W BYRON NELSON BLVD, SUITE 100
Roanoke, TX 76262
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1497399687 (817) 674-7494
Richard A. Nichols D P M P A
9.5 mi
Foot Surgery
1600 LANCASTER DR, STE 102
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Richard A Nichols DPM P A
  • 5 clinicians in this Medicare group
NPI 1083804298 (817) 481-4000

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

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
397 services107 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
111 services66 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
81 services23 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
58 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
41 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Methodist Southlake Medical Center

Acute Care Hospitals · Southlake, TX
OwnershipProprietary
CMS Certification Number670132
Location421 E State Highway 114Southlake, TX 76092 · Tarrant County
Emergency services

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.

90.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.28
Promoting Interoperability99
Improvement Activities40

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 Childers's NPI number?

The NPI number for Samantha Childers is 1790837425. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Samantha Childers located?

Samantha Childers practices at 351 W. Byron Nelson Blvd Suite 100, Roanoke, TX 76262. The listed phone number is (415) 602-2048.

What is Samantha Childers's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Samantha Childers enrolled in Medicare?

Yes. Samantha Childers 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.

Which organizations bill Medicare for Samantha Childers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Childers reassigns Medicare benefits to 2 organizations: Roanoke Foot & Ankle Institute, PLLC (Roanoke, TX) and Richard A. Nichols D P M P A (Grapevine, TX). Each 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 Childers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Childers accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Samantha Childers 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 Samantha Childers affiliated with any hospitals?

According to CMS data, Samantha Childers is affiliated with Baylor Scott & White Medical Center Grapevine and Methodist Southlake Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Childers was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.