Samuel Dennison Smith, PAC, ATC
NPI 1144878059ActiveIndividual· Physician Assistant· Klamath Falls, OR
Physician Assistant (PAC, ATC) with Sky Lakes Medical Center Inc, practicing in Klamath Falls, Oregon. 184 Medicare patients in 2024, $21,021 paid; nearly all of their 337 Part D prescriptions were generic (95%). Lists Lake District Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1144878059 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC, ATC |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2019 |
| Last updated in NPPES | Oct 9, 2023 |
| Certified by provider | Oct 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1205273 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 184 |
|---|---|
| Services billed | 491 across 69 procedure codes |
| Paid by Medicare | $21,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 337 · 348 30-day fills |
|---|---|
| Patients | 150 |
| Total drug cost | $10,368 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sky Lakes Medical Center IncKlamath Falls, OR · 215 clinicians
Hospital affiliations
- Lake District HospitalLakeview, OR
- Modoc Medical CenterAlturas, CA
- Sky Lakes Medical CenterKlamath Falls, OR
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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All 48 physician assistants in Klamath Falls · All physician assistants in Oregon