DR. ENRIQUE SAMONTE M.D.
NPI 1922267152
Family Medicine in Jermyn, PA

NPI Status: Active since June 03, 2008

Contact Information

5 S WASHINGTON AVE
JERMYN, PA
ZIP 18433
Phone: (570) 230-0019
Fax: (570) 230-0013

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About ENRIQUE SAMONTE

This page provides the complete NPI Profile along with additional information for Enrique Samonte, a primary care provider established in Jermyn, Pennsylvania with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1922267152 assigned on June 2008. The practitioner's primary taxonomy code is 207Q00000X with license number MT191810 (PA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1922267152
Provider Name
DR. ENRIQUE SAMONTE M.D.
Gender
Male
Entity Type
Individual
Location Address
5 S WASHINGTON AVE JERMYN, PA 18433
Location Phone
(570) 230-0019
Location Fax
(570) 230-0013
Mailing Address
5 S WASHINGTON AVE JERMYN, PA 18433
Mailing Phone
(570) 230-0019
Mailing Fax
(570) 230-0013
Is Sole Proprietor?
No
Enumeration Date
06-03-2008
Last Update Date
12-15-2020
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A primary care provider (PCP) like Enrique Samonte sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MT191810
License State
PA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS Enrollment Status

Enrique Samonte is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    3 DME suppliers used 12 Medicare Claims 39 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 12 times for 12 patients

Blood glucose (sugar) level

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

This service was performed 39 times for 27 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

This service was performed 68 times for 64 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 30 times for 26 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

This service was performed 29 times for 29 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18433 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.88
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $21.22
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ENRIQUE SAMONTE M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922267152, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 4 + 6 + 1 + 4 + 1 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1922267152.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
5 S WASHINGTON AVE, SUITE 1
JERMYN, PA 18433
Family Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Family Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Counselor
5 S WASHINGTON AVE
JERMYN, PA 18433
Family Medicine (Sports Medicine)
5 S WASHINGTON AVE
JERMYN, PA 18433
Dental Hygienist
5 S WASHINGTON AVE
JERMYN, PA 18433
Health Educator
5 S WASHINGTON AVE
JERMYN, PA 18433
Dental Hygienist
5 S WASHINGTON AVE
JERMYN, PA 18433
Dental Hygienist
5 S WASHINGTON AVE
JERMYN, PA 18433
Dental Hygienist
5 S WASHINGTON AVE
JERMYN, PA 18433
Social Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Health Educator
5 S WASHINGTON AVE
JERMYN, PA 18433
Pediatrics
5 S WASHINGTON AVE
JERMYN, PA 18433
Dietitian, Registered
5 S WASHINGTON AVE
JERMYN, PA 18433
Social Worker (Clinical)
5 S WASHINGTON AVE
JERMYN, PA 18433
Counselor (Professional)
5 S WASHINGTON AVE
JERMYN, PA 18433
Social Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Internal Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Nurse Practitioner (Family)
5 S WASHINGTON AVE
JERMYN, PA 18433
Nurse Practitioner (Family)
5 S WASHINGTON AVE
JERMYN, PA 18433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922267152, enumerated as an "individual" on June 03, 2008.

The provider is located at 5 S WASHINGTON AVE JERMYN, PA 18433 and the phone number is (570) 230-0019.

Family Medicine with taxonomy code 207Q00000X.