Samuel Clark Light, DO
NPI 1609629518ActiveIndividual· Student in an Organized Health Care Education/Training Program· Raleigh, NC
Student in an Organized Health Care Education/Training Program (DO) in Raleigh, North Carolina, with an NPI issued in April 2024. Part D covered 109 prescriptions written in 2024, 79% of them generic.
Overview
| NPI | 1609629518 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 9, 2024 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
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 Order and Referring Only - Internal Medicine (NC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 109 · 135 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $13,380 |
| Generic share | 79% of claims |
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