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Samantha Goutermout, FNP

NPI 1114657228ActiveIndividual· Nurse Practitioner, Family· Hannibal, NY

Nurse Practitioner, Family (FNP) in Hannibal, New York, trained at State University of Ny Upstate Medical University (class of 2022). Their prescriptions cost Medicare Part D more than their services did: $155,477 for 1,297 claims, against $8,114 paid for services in 2024. Abbvie Inc. was the largest of 7 companies reporting payments in 2025, $190.18 in all, mostly food and beverage.

Overview

NPI1114657228
StatusActive
Entity typeIndividual
CredentialFNP
Sole proprietorNo
NPI issuedJun 13, 2022
Last updated in NPPESOct 15, 2026
Certified by providerOct 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X349656NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients49
Services billed149 across 25 procedure codes
Paid by Medicare$8,114

Part D prescriptions in 2024

Prescriptions (claims)1,297 · 2,138 30-day fills
Patients195
Total drug cost$155,477
Generic share82% of claims

Medicare sources and data years

Education and affiliations

Medical schoolState University of Ny Upstate Medical University
Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$190.18 · 9 payments from 7 companies
  • 2024$207.50 · 10 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$190.18 · 9 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records