DR. ANDREA R SAMPLE MD
NPI 1972602761
Obstetrics & Gynecology in Bridgeton, MO
About Dr. Andrea R Sample Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREA R SAMPLE MD (NPI 1972602761) is an individual obstetrics & gynecology provider in Bridgeton, Missouri, licensed in Missouri (2006012211) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains a secondary practice location in Florissant.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Andrea R Sample Md 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 Reassignments
2Medicare enrollment records show Andrea Sample reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Depaul Hospital St Louis
Acute Care Hospitals · Bridgeton, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63044 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
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 Andrea Sample's NPI number?
The NPI number for Andrea Sample is 1972602761. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Andrea R Jefferson.
Where is Andrea Sample located?
Andrea Sample practices at 12277 De Paul Dr Ste 305, Bridgeton, MO 63044. The listed phone number is (314) 344-7585.
What is Andrea Sample's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Andrea Sample enrolled in Medicare?
Yes. Andrea Sample 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 Andrea Sample's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Sample reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Bridgeton, MO) and Ssm Medical Group, Inc. (Fenton, MO). 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 Andrea Sample's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Sample accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Andrea Sample 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 Andrea Sample affiliated with any hospitals?
According to CMS data, Andrea Sample is affiliated with Ssm Health Depaul Hospital St Louis.
When was this NPI record last updated?
The NPPES record for Andrea Sample was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Andrea R Sample, MD · NPI 1972602761
Obstetrics & Gynecology physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1972602761 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2006012211 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12277 DE PAUL DR STE 305, Bridgeton, MO 63044-2529
- **Phone:** (314) 344-7585
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care St. Louis (NPI 1376598599, Bridgeton, MO); Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Kansas City, School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 26, 2020
- **Other identifiers:** Other 2006012211 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1972602761) · Data from the CMS NPPES public registry.