Samantha Jack, PA-C
Surgical Physician Assistant · Beavercreek, OH
Samantha Jack, PA-C is a surgical physician assistant with a practice address in Beavercreek, Ohio, and NPI 1316314925, issued on Aug 31, 2015. Check the license with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samantha Jack
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- Practice location
- 725 University Blvd, Beavercreek, OH 45324
- Phone
- (937) 245-7150
- Enumerated
- Aug 31, 2015
- Record last updated
- Mar 20, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20160309002583); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 395 in Ohio → Look up another NPI →
Also registered at 725 University Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Abramson, MDPsychiatry Physician1528647534
- Samantha Achauer, MDStudent in an Organized Health Care Education/Training Program1003511668
- Brianna Albers, MS, AT, ATCAthletic Trainer1174036008
- Gregory Bellanca, NPFamily Nurse Practitioner1164710414
- Sonia Bennett, MDEndocrinology, Diabetes & Metabolism Physician1265826192
- Stephen Binder, MDFamily Medicine Physician1326005000
Verify Samantha Jack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 77 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Premier Health Specialists IncDayton, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samantha Jack among 395 surgical physician assistant records in Ohio
Samantha Jack, PA-C is one of 395 surgical physician assistant records with a practice address in Ohio. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 67% of them.
- NPI issued2015 · 67% of these records are older, 30% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2015 · median 2012 among the 290 with a school on file
- Record last updated2018 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Ohio
There are 395 surgical physician assistant records in Ohio.
All 395 in Ohio → Every provider in Beavercreek → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Stephen Long, P.A.Wpafb, OH 453241073598207
- Richard Stevenson, CSFAFairborn, OH 453241215319926
- Melissa Rawlins, P.A. - CMiamisburg, OH 453421194974451
- Michelle Wright, MPAS, PA-CMiamisburg, OH 453421891206868
- Erika Watson, PA-CPiqua, OH 453561427161975
- Melinda Duff, PA-CTroy, OH 453731295737815
- Jon Grote, PA-CCincinnati, OH 452491407802770
- Joseph Ehrhard, P.A.C.Cincinnati, OH 452471306836911
Common questions
What is Samantha Jack, PA-C's NPI number?
Samantha Jack, PA-C's National Provider Identifier (NPI) is 1316314925, issued on Aug 31, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Samantha Jack, PA-C located?
The NPPES record lists a practice address at 725 University Blvd, Beavercreek, OH, 45324. Phone: (937) 245-7150. Providers update this record themselves, so call before visiting.
How can I verify Samantha Jack, PA-C's license?
Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
What is Samantha Jack, PA-C's MIPS final score?
The 2023 MIPS final score is 77 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.