Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902000714 Individual Practitioner Female Practitioner

Jennifer M Sample , PA-C

Physician Assistant • Mentor, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Sample, PA-C is a certified Physician Assistant practicing in Mentor, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Jennifer Sample delivers high-quality medical care to the local community at 9500 MENTOR AVE.

Jennifer Sample is affiliated with Cleveland Clinic 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 straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9500 Mentor Ave
Suite 100

Mentor, OH 440608713

Telephone 4403524880
Fax 4403523629
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mentor, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +9.8 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Mentor, OH (5376 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sample (20 Years) 20 Yrs
Mentor Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
43 35 $110.00 $59.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $205.00 $113.47

Medical Specialties & State Licenses

CMS Verified: 2021-04-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 2541

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.

Hospital & Practice Group Affiliations

Cleveland Clinic

8950 Euclid Ave, Cleveland, OH 441950001

Phone: 2164448950

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Cleveland Clinic

18101 Lorain Ave, Cleveland, OH 441115612

Phone: 2164767000

Cleveland Clinic

18101 Lorain Ave, Cleveland, OH 441115612

Phone: 2166712205

Practice Associates & Co-Workers

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

20 Associated Practitioners
Sara Brown

Family Medicine

NPI 1003312760
Dr. Mark Komar , MD

Family Medicine

NPI 1003883711

Doctor of Medicine (M.D.)

NPI 1114993029

Doctor of Medicine (M.D.)

Dr. Marren Weber , DO

Family Medicine

NPI 1184814790

Doctor of Osteopathic Medicine (D.O.)

NPI 1326015041

Doctor of Medicine (M.D.)

Dr. Richard Berry , MD

Family Medicine

NPI 1346636628

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 08, 2021

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 4404454500)

NPI Profile Active July 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2007

Registered at 9500 MENTOR AVE, SUITE 100, MENTOR, OH 440608713 (Tel: 4403524880)

📍
Updated Business Mailing Address July 10, 2007

Registered at 9500 MENTOR AVE, SUITE 100, MENTOR, OH 440608713 (Tel: 4403524880)

👤
Provider Name / Credentials Updated July 10, 2007

Recorded as JENNIFER SAMPLE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Physician Assistant (License #2541 in OH)

🟢
Initial NPI Registration & Enumeration June 14, 2007

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: 1902000714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: April 08, 2021
Sole Proprietor: No

Mailing Address

9500 Euclid Ave

Cleveland, OH 441950001

Phone: 4404454500

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.