Samantha Gagne, PA-C
NPI 1275128704ActiveIndividual· Physician Assistant, Medical· Dover, NH
Physician Assistant, Medical (PA-C) with Wentworth Douglass Physician Corporation, practicing in Dover, New Hampshire. Mostly services rather than prescriptions: Medicare paid $4,982 for 57 patients in 2024, with only 41 Part D claims. Lists Wentworth-Douglass Hospital as a hospital affiliation.
Overview
| NPI | 1275128704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 6, 2021 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 1892 | NH |
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 (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 73 across 27 procedure codes |
| Paid by Medicare | $4,982 |
Part D prescriptions in 2024
| Prescriptions (claims) | 41 · 41 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $319.79 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wentworth Douglass Physician CorporationDover, NH · 429 clinicians
Hospital affiliation
- Wentworth-Douglass HospitalDover, NH
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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