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Active NPI 1770972184 Individual Practitioner Male Practitioner

Derick Ngufor Samafuhbi , PA-C

Physician Assistant • Liberal, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derick Samafuhbi, PA-C is a certified Physician Assistant practicing in Liberal, KS. With approximately 14 years of clinical experience since completing medical education in 2012, Derick Samafuhbi delivers high-quality medical care to the local community at 315 W 15TH ST.

Derick Samafuhbi maintains professional affiliations with Physicians Of Cape Cod Hospital, Ascension Via Christi Hospital Manhattan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 W 15th St

Liberal, KS 679012455

Telephone 6206296477
Fax 6206296651
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Liberal, KS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +1.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Liberal, KS (1349 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samafuhbi (14 Years) 14 Yrs
Liberal Specialty Average (13.0 Years) 13.0 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
91 37 $879.00 $101.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
88 38 $609.88 $67.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
72 71 $582.89 $138.46
99239 Hospital discharge day management, more than 30 minutes
35 34 $877.11 $98.23

Medical Specialties & State Licenses

CMS Verified: 2025-11-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 1501801

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 ME PA2321

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 GA 8803

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 0110005063

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 NY 024081-01

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

Medicaid State Provider ID
200631770A (OK)
Medicaid State Provider ID
201134920A (KS)

Hospital & Practice Group Affiliations

Ascension Via Christi Hospital Manhattan Inc

1823 College Ave, Manhattan, KS 665023381

Phone: 7857763322

Physicians Of Cape Cod Hospital

27 Park St, Hyannis, MA 026015230

Phone: 7745526000

Secondary Practice Locations

1 Medical Center Dr

Biddeford, ME 040059422

Phone: 2072837937

22 Bramhall St

Portland, ME 041023134

Phone: 2076624618

400 Sentara Cir Ste 320

Williamsburg, VA 231885716

Phone: 7573454300

25 June St

Sanford, ME 040732621

Phone: 2073244310

Practice Associates & Co-Workers

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

8 Associated Practitioners
Unnati Basnyat , PA-C

Physician Assistant - Medical

NPI 1083124481

Physician Assistant (Certified)

Lauren Boyce , PA-C

Physician Assistant - Medical

NPI 1285291955

Physician Assistant (Certified)

Marlon Bazan , PA-C

Physician Assistant - Medical

NPI 1306329438

Physician Assistant (Certified)

Elyse Jablonski , PA-C

Physician Assistant - Medical

NPI 1548743636

Physician Assistant (Certified)

Bereket Woldemariam , PA-C

Physician Assistant

NPI 1578950119

Physician Assistant (Certified)

NPI 1710261961

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2025

Physician Assistant (License #PA2321 in ME)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2021

Physician Assistant (License #0110005063 in VA)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 08, 2017

Registered at PO BOX 1215, ATTN CLINIC BILLING OFFICE, LIBERAL, KS 679051215 (Tel: 6206296638)

📍
Updated Practice Location March 08, 2017

Registered at 315 W 15TH ST, LIBERAL, KS 679012455 (Tel: 6206296477)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as DERICK SAMAFUHBI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Physician Assistant (License #1501801 in KS)

📍
Updated Practice Location January 23, 2017

Registered at 315 W 15TH ST, LIBERAL, KS 679012455 (Tel: 6206296477)

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 210 BUSINESS CENTER DRIVE, REISTERSTOWN, MD 21136 (Tel: 4105261490)

📍
Updated Business Mailing Address March 24, 2016

Registered at PO BOX 1340, LIBERAL, KS 679051340 (Tel: 6206296739)

👤
Provider Name / Credentials Updated March 24, 2016

Recorded as DERICK SAMAFUHBI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Physician Assistant (License #1501801 in KS)

🟢
Initial NPI Registration & Enumeration January 22, 2015

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: 1770972184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2015
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

Po Box 1215, Attn Clinic Billing Office

Liberal, KS 679051215

Phone: 6206296638

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.