Samantha Jackson, MD
NPI 1104806967ActiveIndividual· Family Medicine· Hobart, OK
Family Medicine (MD) in Hobart, Oklahoma, trained at University of Oklahoma College of Medicine (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $2,184,502 for 28,381 claims, against $171,279 paid for services in 2024.
Overview
| NPI | 1104806967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 19876 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 474 |
|---|---|
| Services billed | 4,070 across 43 procedure codes |
| Paid by Medicare | $171,279 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28,381 · 39,634 30-day fills |
|---|---|
| Patients | 672 |
| Total drug cost | $2,184,502 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Family Practice |
Medical group
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
Hospital affiliations
- Cordell Memorial HospitalCordell, OK
- Elkview General HospitalHobart, OK
- Great Plains Regional Medical CenterElk City, OK
- Jackson County Memorial Hospital AuthorityAltus, OK
- Weatherford Regional Hospital, Inc of WeatherfordWeatherford, OK
Other facilities
- Angels Care Home Health of OklahomaHome health agency · Oklahoma City, OK
- Elara Caring XxivHome health agency · Lawton, OK
- Enhabit Home Health of Western OklahomaHome health agency · Weatherford, OK
- Sunshine Home Care, IncHome health agency · Altus, OK
- Triad Home Health LLCHome health agency · Mangum, OK
- Elk City Comforting Hands Hospice LLCHospice · Elk City, OK
- Good Shepherd Hospice, Inc.Hospice · Woodward, OK
- Traditions Health of Elk CityHospice · Elk City, OK
- Ayers Nursing HomeNursing home · Snyder, OK
- Cordell Nursing and RehabilitationNursing home · Cordell, OK
- Hobart Nursing & RehabilitationNursing home · Hobart, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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