John Samuel, PA
NPI 1215096714ActiveIndividual· Physician Assistant, Surgical· Bronx, NY
Physician Assistant, Surgical (PA) with Divinity Medical Services PLLC and 1 other group, practicing in Bronx, New York. 217 Medicare patients in 2024, $23,751 paid; nearly all of their 326 Part D prescriptions were generic (92%).
Overview
| NPI | 1215096714 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Dec 8, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 009777 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 217 |
|---|---|
| Services billed | 574 across 28 procedure codes |
| Paid by Medicare | $23,751 |
Part D prescriptions in 2024
| Prescriptions (claims) | 326 · 329 30-day fills |
|---|---|
| Patients | 193 |
| Total drug cost | $5,682 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Divinity Medical Services PLLCYorktown Heights, NY · 94 clinicians
- Urgent Care Physician of New York-Hartsdale PLLCNanuet, NY · 11 clinicians
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 120 surgical physician assistants in Bronx · All surgical physician assistants in New York