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Active NPI 1417355819 Individual Practitioner Female Practitioner

Samantha Kaye Ethridge , PA

Physician Assistant • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Ethridge, PA is a certified Physician Assistant practicing in Waco, TX. With approximately 12 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2014, Samantha Ethridge delivers high-quality medical care to the local community at 1800 GURLEY LN.

Samantha Ethridge is affiliated with Heart Of Texas Community Health Center, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, blood test, comprehensive group of blood chemicals, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Gurley Ln

Waco, TX 767064025

Telephone 2543136000
Fax 2543136099
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waco, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -0.3 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
66 Specialists

Practicing in Waco, TX (11140 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ethridge (12 Years) 12 Yrs
Waco Specialty Average (12.3 Years) 12.3 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
83036 Hemoglobin A1C level
39 20 $50.00 $9.52
80053 Blood test, comprehensive group of blood chemicals
26 18 $90.00 $10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
18 14 $40.00 $7.61
80061 Blood test, lipids (cholesterol and triglycerides)
16 15 $70.00 $13.12
80048 Blood test, basic group of blood chemicals (calcium, total)
14 13 $50.00 $8.29

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA09447

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

Heart Of Texas Community Health Center, Inc.

1800 Gurley Ln, Waco, TX 767064025

Phone: 2543136000

Heart Of Texas Community Health Center, Inc.

1600 Providence Dr, Waco, TX 767072261

Phone: 2543134200

Practice Associates & Co-Workers

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

8 Associated Practitioners
Leslie Smith , FNP

Nurse Practitioner - Family

NPI 1003101718

Family Nurse Practitioner

NPI 1114101821

Doctor of Dental Surgery

NPI 1255582607

Doctor of Medicine (M.D.)

NPI 1275510380

Doctor of Dental Surgery

Katie Carranza , FNP

Nurse Practitioner - Family

NPI 1508293705

Family Nurse Practitioner

NPI 1659673036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2016

Registered at 1800 GURLEY LN, WACO, TX 767064025 (Tel: 2543136000)

📍
Updated Business Mailing Address November 03, 2016

Registered at 1600 PROVIDENCE DR, WACO, TX 767072261 (Tel: 2543134200)

👤
Provider Name / Credentials Updated November 03, 2016

Recorded as SAMANTHA ETHRIDGE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Physician Assistant (License #PA09447 in TX)

🟢
Initial NPI Registration & Enumeration December 17, 2014

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: 1417355819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2014
Last Update: November 03, 2016
Sole Proprietor: No

Mailing Address

1600 Providence Dr

Waco, TX 767072261

Phone: 2543134200

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.