SAMUEL PARKER
NPI 1821747635
Pediatrics in Morgantown, WV

Q: What is Samuel Parker's NPI number?

The NPI number for Samuel Parker is 1821747635. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Q: What is Samuel Parker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Parker was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2022PECOS Enrolled

6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501(304) 598-4835(304) 285-7388 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Parker NPPES

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

SAMUEL PARKER (NPI 1821747635) is an individual pediatrics provider in Morgantown, West Virginia, licensed in Arizona (011935) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2022).

NPPES Registry Identity

NPI1821747635

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSAMUEL PARKER

Location Address6040 UNIVERSITY TOWN CENTRE DRMorgantown, WV 26501-2421

Mailing Address6040 University Town Centre DrMorgantown, WV 26501-2421

Phone(304) 598-4835

Fax(304) 285-7388

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2022

Enumeration DateMarch 20, 2022

Last NPPES UpdateSeptember 15, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1821747635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 011935

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6040 UNIVERSITY TOWN CENTRE DR, Morgantown, WV 26501

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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-3400 · Fax (602) 933-5397

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Parker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416453006

PECOS Enrollment IDI20251002001483

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26501 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

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.

COLLEEN M KROLL APRN

Nurse Practitioner (Family)