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Active NPI 1346519543 Individual Practitioner Female Practitioner

Deborah J Samples , CNP

Nurse Practitioner - Family • Fredericktown, OH

Professional Overview & Biography Verified Profile Summary

Deborah Samples, CNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Fredericktown, OH. Practice services are available at 122 COLUMBUS RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 Columbus Rd

Fredericktown, OH 430191266

Telephone 7406941261
Fax 7406947145
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Fredericktown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Fredericktown, OH (9717 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
148 110 $98.00 $74.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
127 95 $146.00 $104.98
36415 Insertion of needle into vein for collection of blood sample
92 72 $8.00 $2.94
81003 Automated urinalysis test
31 25 $5.00 $2.22
G0008 Administration of influenza virus vaccine
15 14 $50.00 $27.99
90662 Influenza vaccine split virus, preservative free
14 13 $125.36 $68.29
99495 Transitional care management services for problem of at least moderate complexity
13 12 $389.00 $169.40

Medical Specialties & State Licenses

CMS Verified: 2021-03-18
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OH APRN.CNP.12739

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0063151 (OH)

Practice Associates & Co-Workers

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

8 Associated Practitioners
David Lamport , PA-C

Physician Assistant - Medical

NPI 1245267350

Physician Assistant (Certified)

Dr. Laura Segraves , DNP, CNP

Nurse Practitioner - Family

NPI 1326083924

Doctor of Nursing Practice, Certified Nurse Practitioner

Erin Reeves , RRT

Respiratory Therapist, Registered

NPI 1356965818

Registered Respiratory Therapist

Kevin Shields , PA-C

Physician Assistant

NPI 1689031338

Physician Assistant (Certified)

Dr. William Elder , MD

Family Medicine

NPI 1710914833

Doctor of Medicine (M.D.)

NPI 1740636000

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address December 03, 2019

Registered at 122 COLUMBUS RD, FREDERICKTOWN, OH 430191266 (Tel: 7406941261)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2019

Nurse Practitioner (License #APRN.CNP.12739 in OH)

NPI Profile Active December 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2011

Registered at 122 COLUMBUS RD, FREDERICKTOWN, OH 430191266 (Tel: 7406941261)

📍
Updated Business Mailing Address December 19, 2011

Registered at 2500 CORPORATE EXCHANGE DR, SUITE 100, COLUMBUS, OH 432317665 (Tel: 7647944500)

👤
Provider Name / Credentials Updated December 19, 2011

Recorded as DEBORAH SAMPLES, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2011

Nurse Practitioner (License #RN228886COA1 in OH)

🟢
Initial NPI Registration & Enumeration December 19, 2011

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: 1346519543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2011
Last Update: March 18, 2021
Sole Proprietor: No

Mailing Address

122 Columbus Rd

Fredericktown, OH 430191266

Phone: 7406941261

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.