Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992375554 Individual Practitioner Male Practitioner

Samuel Gordon Hathcock , PA

Physician Assistant • Celebration, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Hathcock, PA is a certified Physician Assistant practicing in Celebration, FL. With approximately 5 years of clinical experience since completing medical education in 2021, Samuel Hathcock delivers high-quality medical care to the local community at 410 CELEBRATION PL STE 300.

Samuel Hathcock is affiliated with Florida Hospital Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 Celebration Pl Ste 300

Celebration, FL 347475434

Telephone 4078944474
Fax 4078947032
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Celebration, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -2.2 yrs vs City Avg
City Avg: 7.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
39 Specialists

Practicing in Celebration, FL (10376 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hathcock (5 Years) 5 Yrs
Celebration Specialty Average (7.2 Years) 7.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 70 $219.62 $105.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
69 49 $240.00 $67.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
34 34 $396.00 $112.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 21 $297.35 $151.22
99213 Established patient office or other outpatient visit, typically 15 minutes
17 17 $148.80 $75.79
93000 Routine ekg using at least 12 leads including interpretation and report
13 13 $35.10 $11.94

Medical Specialties & State Licenses

CMS Verified: 2024-01-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9116218

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License VA 0110-008149

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Virginia Board Of Medicine License
0110-008149 (VA)

Hospital & Practice Group Affiliations

Florida Hospital Medical Group Inc

400 Celebration Pl, Celebration, FL 347474970

Florida Hospital Medical Group Inc

2600 Westhall Ln, Maitland, FL 327517102

Phone: 4072002700

Florida Hospital Medical Group Inc

400 Celebration Pl, Kissimmee, FL 347474970

Phone: 4073033827

Secondary Practice Locations

4645 Nw 8th Ave

Gainesville, FL 326054687

Phone: 3523751212

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Matthew Mcalister , DO

Internal Medicine - Cardiovascular Disease

NPI 1003264284

Doctor of Osteopathic Medicine (D.O.)

Melinda Vazquez , ARNP-C

Nurse Practitioner - Family

NPI 1013357342

ARNPC

Abigail Hoffman , APRN-C, MSN

Nurse Practitioner - Adult Health

NPI 1023312071

APRNC, Master of Science in Nursing

Nicole Mcnutt , PA

Physician Assistant - Medical

NPI 1043388168

Physician Assistant

Haley Rassamni , PA

Physician Assistant

NPI 1053297275

Physician Assistant

Dr. Hector Lozano , MD

Internal Medicine - Cardiovascular Disease

NPI 1053361808

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 16, 2024

Registered at 410 CELEBRATION PL STE 300, CELEBRATION, FL 347475434 (Tel: 4078944474)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Physician Assistant (License #0110-008149 in VA)

📍
Updated Practice Location October 28, 2022

Registered at 4645 NW 8TH AVE, GAINESVILLE, FL 326054687 (Tel: 3523751212)

📍
Updated Business Mailing Address October 28, 2022

Registered at 4645 NW 8TH AVE, GAINESVILLE, FL 326054687 (Tel: 3523751212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2022

Physician Assistant

📍
Updated Practice Location October 07, 2021

Registered at 2410 ATHERHOLT RD, LYNCHBURG, VA 245012148 (Tel: 4342005252)

📍
Updated Business Mailing Address October 07, 2021

Registered at 2410 ATHERHOLT RD, LYNCHBURG, VA 245012148 (Tel: 4342005252)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Physician Assistant (License #0110-008149 in VA)

NPI Profile Active June 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2021

Registered at 1003 MISTY MOUNTAIN RD APT 505, LYNCHBURG, VA 245024061 (Tel: 4074880424)

📍
Updated Business Mailing Address June 28, 2021

Registered at 1003 MISTY MOUNTAIN RD APT 505, LYNCHBURG, VA 245024061 (Tel: 4074880424)

👤
Provider Name / Credentials Updated June 28, 2021

Recorded as SAMUEL HATHCOCK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992375554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2021
Last Update: January 16, 2024
Sole Proprietor: Yes

Mailing Address

4645 Nw 8th Ave

Gainesville, FL 326054687

Phone: 3523751212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.