SAMANTHA M BUCKHOLTZ CNM
NPI 1942798780
Advanced Practice Midwife in Mayfield Village, OH

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
955 WORTON PARK DR, MAYFIELD VILLAGE, OH 44143(216) 355-4555 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2020, Apr 26, 2018 (2 updates tracked since 2018).

About Samantha M Buckholtz Cnm NPPES

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

SAMANTHA M BUCKHOLTZ CNM (NPI 1942798780) is an individual advanced practice midwife in Mayfield Village, Ohio and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942798780
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSAMANTHA M BUCKHOLTZCredential: CNM
Location Address955 WORTON PARK DRMayfield Village, OH 44143-3327
Mailing Address955 Worton Park DrMayfield Village, OH 44143-3327 · (216) 355-4555
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1942798780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
955 WORTON PARK DR, Mayfield Village, OH 44143

Accepted 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 M Buckholtz Cnm 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 ID8820336209
PECOS Enrollment IDI20201013003159
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 Buckholtz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Family Medicine
2767 OLIVE HWY
Oroville, CA 95966
  • Reassigned Medicare billing, California enrollment
  • 267 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.

Hospital Affiliations CMS Care Compare

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44143 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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 Buckholtz's NPI number?

The NPI number for Samantha Buckholtz is 1942798780. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Samantha Buckholtz located?

Samantha Buckholtz practices at 955 Worton Park Dr, Mayfield Village, OH 44143. The listed phone number is (216) 355-4555.

What is Samantha Buckholtz's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Samantha Buckholtz enrolled in Medicare?

Yes. Samantha Buckholtz 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 Buckholtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Buckholtz reassigns Medicare benefits to 2 organizations: University Hospitals Medical Group Inc (Cleveland, OH) and Orohealth Corporation A Non Profit Healthcare System (Oroville, CA). 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 Buckholtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Buckholtz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Samantha Buckholtz 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 Buckholtz affiliated with any hospitals?

According to CMS data, Samantha Buckholtz is affiliated with Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Buckholtz was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.