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Active NPI 1265949804 Individual Practitioner Male Practitioner

Samuel Charles Rich , PA-C

Physician Assistant • Lopez Island, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Samuel Rich, PA-C is a certified Physician Assistant practicing in Lopez Island, WA. With approximately 9 years of clinical experience since completing medical education in 2017, Samuel Rich delivers high-quality medical care to the local community at 103 WASHBURN PL.

Samuel Rich is affiliated with The Association Of University Physicians and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, 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

103 Washburn Pl

Lopez Island, WA 982615528

Telephone 2062222222
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lopez Island, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Lopez Island, WA (3774 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rich (9 Years) 9 Yrs
Lopez Island Specialty Average (9.0 Years) 9.0 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
36415 Insertion of needle into vein for collection of blood sample
347 260 $24.94 $8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
244 178 $51.88 $13.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
233 171 $399.33 $108.25
99213 Established patient office or other outpatient visit, typically 15 minutes
151 121 $282.62 $77.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
114 99 $561.80 $152.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
110 110 $403.31 $109.90
83036 Hemoglobin A1C level
42 38 $30.96 $9.52
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
28 27 $19.68 $6.39
81003 Automated urinalysis test
25 22 $7.27 $2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
25 24 $175.98 $48.16
99497 Advance care planning, first 30 minutes
16 16 $254.67 $70.02
G0008 Administration of influenza virus vaccine
16 16 $97.21 $32.37
99443 Telephone medical discussion with physician, 21-30 minutes
15 14 $397.09 $108.77
90662 Influenza vaccine split virus, preservative free
13 13 $183.50 $81.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
12 12 $733.40 $289.78
G0009 Administration of pneumococcal vaccine
12 12 $95.15 $32.37
99442 Telephone medical discussion with physician, 11-20 minutes
11 11 $282.88 $77.09

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA.PA.60824723

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
2095287 (WA)
Commercial Insurance / Payer ID Wa Labor & Industries
443554 (WA)

Hospital & Practice Group Affiliations

The Association Of University Physicians

728 Edmonds Way, Edmonds, WA 980205126

Phone: 4256732875

Practice Associates & Co-Workers

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

3 Associated Practitioners
Theresa Drahn , PT

Physical Medicine & Rehabilitation

NPI 1134643927

Physical Therapist

Kimberly Foley , PT

Rehabilitation Practitioner

NPI 1700300563

Physical Therapist

Wendy Murphy

Nurse Practitioner - Family

NPI 1750895330

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address June 30, 2026

Registered at PO BOX 34703, SEATTLE, WA 981241703

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Physician Assistant (License #PA.PA.60824723 in WA)

📍
Updated Practice Location October 10, 2023

Registered at 103 WASHBURN PL, LOPEZ ISLAND, WA 982615528 (Tel: 2065205000)

📍
Updated Business Mailing Address October 10, 2023

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2023

Physician Assistant (License #PA60824723 in WA)

📍
Updated Practice Location December 10, 2021

Registered at 12911 120TH AVE NE STE H210, KIRKLAND, WA 980343065 (Tel: 4258234000)

📍
Updated Business Mailing Address December 10, 2021

Registered at 12911 120TH AVE NE STE G10, KIRKLAND, WA 980343048 (Tel: 4258234000)

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 601 BROADWAY FL 6, SEATTLE, WA 981225330 (Tel: 2063862600)

📍
Updated Business Mailing Address January 04, 2018

Registered at 601 BROADWAY FL 6, SEATTLE, WA 981225330

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as SAMUEL RICH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 04, 2018

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: 1265949804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2018
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

Po Box 34703

Seattle, WA 981241703

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.