SAMANTHA WELLER PA-C
NPI 1942658398
Physician Assistant in Potsdam, NY

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
49 LAWRENCE, URGENT CARE, POTSDAM, NY 13676(315) 261-5525(315) 261-5549 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2026, Apr 25, 2019, Oct 18, 2018 (3 updates tracked since 2018).

About Samantha Weller Pa-c NPPES

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

SAMANTHA WELLER PA-C (NPI 1942658398) is an individual physician assistant in Potsdam, New York, licensed in New York (019750) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942658398
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA WELLERCredential: PA-C
Location Address49 LAWRENCE, URGENT CAREPotsdam, NY 13676
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Fax(315) 261-5549
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1942658398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 019750
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
49 LAWRENCE, Potsdam, NY 13676

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Weller Pa-c 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 ID4385939842
PECOS Enrollment IDI20160823000831
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.

Areas of Expertise CMS Part B claims

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.
111 services105 patients

Hospital Affiliations CMS Care Compare

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%123 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%180 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Weller's NPI number?

The NPI number for Samantha Weller is 1942658398. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Samantha Weller located?

Samantha Weller practices at 49 Lawrence Urgent Care, Potsdam, NY 13676. The listed phone number is (315) 261-5525.

What is Samantha Weller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Weller enrolled in Medicare?

Yes. Samantha Weller 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.

Is Samantha Weller affiliated with any hospitals?

According to CMS data, Samantha Weller is affiliated with Canton-Potsdam Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Weller was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.