SAMUEL WAYNE PSYD
NPI 1902683931
Psychologist - Clinical in Exton, PA
About Samuel Wayne Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WAYNE PSYD (NPI 1902683931) is an individual clinical provider in Exton, Pennsylvania, licensed in Pennsylvania (PS020667) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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 and accepts Medicare assignment
Samuel Wayne Psyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Wayne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Media, PA 19063
- Reassigned Medicare billing, Pennsylvania enrollment
- 353 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 19341 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EXTON, PA 19341
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 Samuel Wayne's NPI number?
The NPI number for Samuel Wayne is 1902683931. It was assigned to this individual provider in the NPPES registry on September 13, 2023.
Where is Samuel Wayne located?
Samuel Wayne practices at 495 Thomas Jones Way Ste 204, Exton, PA 19341. The listed phone number is (610) 477-8819.
What is Samuel Wayne's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Samuel Wayne enrolled in Medicare?
Yes. Samuel Wayne 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 organization bills Medicare for Samuel Wayne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wayne reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). 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 Samuel Wayne'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 Samuel Wayne was last updated on January 6, 2026. 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.
# Samuel Wayne, PSYD · NPI 1902683931
Clinical provider in Exton, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1902683931 (Entity type: Individual)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS020667 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 495 THOMAS JONES WAY STE 204, Exton, PA 19341-2553
- **Phone:** (610) 477-8819
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Delaware County Professional Services, Inc (NPI 1952485864, Media, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902683931) · Data from the CMS NPPES public registry.