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Samantha Grace Hathaway, DO

NPI 1164166708ActiveIndividual· Family Medicine· Johnson City, NY

Family Medicine (DO) with Our Lady of Lourdes Memorial Hospital Inc, practicing in Johnson City, New York. Part D covered 1,027 prescriptions written in 2024, 87% of them generic. Abbvie Inc. reported $21.35 in payments in 2025, mostly food and beverage. Lists Our Lady of Lourdes Memorial Hospital, Inc as a hospital affiliation.

Overview

NPI1164166708
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedApr 20, 2022
Last updated in NPPESJul 24, 2025
Certified by providerJul 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X338813NY

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 - Family Practice (NY)

Part D prescriptions in 2024

Prescriptions (claims)1,027 · 1,517 30-day fills
Patients174
Total drug cost$79,900
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$21.35 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Abbvie Inc.$21.351

What the 2025 payments were for

  • Food and Beverage$21.35 · 1 payment

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

Other family medicine physicians in Johnson City

All 29 family medicine physicians in Johnson City · All family medicine physicians in New York