Jennifer M. Sample, PA-C
NPI 1902000714ActiveIndividual· Physician Assistant· Mentor, OH
Physician Assistant (PA-C) with Cleveland Clinic, practicing in Mentor, Ohio. Mostly services rather than prescriptions: Medicare paid $626.44 for 12 patients in 2024, with only 25 Part D claims. Csl Behring reported $25.96 in payments in 2024, mostly food and beverage. Lists Cleveland Clinic and 1 other hospital as hospital affiliations.
Overview
| NPI | 1902000714 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Apr 8, 2021 |
| Certified by provider | Apr 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2541 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 15 across 5 procedure codes |
| Paid by Medicare | $626.44 |
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 26 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $194.53 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cleveland ClinicCleveland, OH · 7,090 clinicians
Hospital affiliations
- Cleveland ClinicCleveland, OH
- Fairview HospitalCleveland, OH
Industry payments (Open Payments)
- 2024$25.96 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $25.96 | 1 |
What the 2024 payments were for
- Food and Beverage$25.96 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 physician assistants in Mentor · All physician assistants in Ohio