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Active NPI 1730699109 Individual Practitioner Female Practitioner

Samantha Kilia Trout , PA-C

Physician Assistant • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Trout, PA-C is a certified Physician Assistant practicing in Kettering, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Samantha Trout delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Samantha Trout is affiliated with Dermatologists Of Southwestern Ohio, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 8082949379
Associated Practice Facility / Clinic
🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettering, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +1.3 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Kettering, OH (5376 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Trout (9 Years) 9 Yrs
Kettering Specialty Average (7.7 Years) 7.7 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
17003 Destruction of precancer skin growth, 2-14 growths
297 67 $10.80 $5.43
99213 Established patient office or other outpatient visit, typically 15 minutes
152 123 $155.02 $76.87
11102 Tangential biopsy of single skin lesion
124 110 $174.09 $77.96
17000 Destruction of skin growth
115 103 $111.39 $42.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
92 21 $5.00 $0.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
89 89 $192.03 $93.12
17110 Destruction of up to 14 skin growths
59 48 $190.03 $91.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
51 36 $221.38 $109.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 39 $95.59 $47.89
11103 Biopsy of related skin growth, each additional growth
37 22 $88.88 $41.86
99202 New patient office or other outpatient visit, typically 20 minutes
35 35 $124.13 $61.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
17 17 $30.51 $12.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $287.47 $141.69

Medical Specialties & State Licenses

CMS Verified: 2020-09-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.005278RX

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.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License OH 50.005278RX

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0249173 (OH)

Hospital & Practice Group Affiliations

Dermatologists Of Southwestern Ohio, Llc

4244 Indian Ripple Rd, Beavercreek, OH 454403280

Phone: 9374290674

Dermatologists Of Southwestern Ohio, Llc

5300 Far Hills Ave, Dayton, OH 454292381

Phone: 9374337536

Secondary Practice Locations

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

6147 State Route 122

Middletown, OH 450055201

Phone: 9374364658

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374364658

450 Washington Jackson Rd

Eaton, OH 453208699

Phone: 9374364658

405 W Grand Ave

Dayton, OH 454057538

Phone: 9374364658

600 W Main St

Troy, OH 453732928

Phone: 9379807010

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ragheed Katkhuda , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003087982

Doctor of Medicine (M.D.)

Susan Zann , RNFS

Registered Nurse - Registered Nurse First Assistant

NPI 1013144278
NPI 1013222603

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Loren Nallu , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1013235597

Doctor of Medicine (M.D.)

NPI 1013341098

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard Garrison , MD

Emergency Medicine

NPI 1013994300

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated September 16, 2020

Recorded as SAMANTHA TROUT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Radiology (License #50.005278RX in OH)

📍
Updated Business Mailing Address March 12, 2019

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)

📍
Updated Business Mailing Address March 17, 2018

Registered at 8280 YANKEE ST, CENTERVILLE, OH 454581806 (Tel: 9374364658)

NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2017

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 8082949379)

📍
Updated Business Mailing Address October 11, 2017

Registered at 2680 CEDARVILLE YELLOW SPRI RD, CEDARVILLE, OH 453149516 (Tel: 8082949379)

👤
Provider Name / Credentials Updated October 11, 2017

Recorded as SAMANTHA BLUEFARB, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Physician Assistant (License #50.005278RX in OH)

🟢
Initial NPI Registration & Enumeration October 11, 2017

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: 1730699109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2017
Last Update: September 16, 2020
Sole Proprietor: No

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374364658

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.