NPPES file of Aug 9, 2026

Samuel Thomas Gontkovsky, PSY.D.

Clinical Psychologist · Chillicothe, OH

Samuel Thomas Gontkovsky, PSY.D. is a clinical psychologist with a practice address in Chillicothe, Ohio, and NPI 1801954920, issued on Dec 4, 2006. Check the license (Ohio 7285, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1801954920
Name
Samuel Thomas Gontkovsky
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License numbers
7285 OH
42692 MS
723 NE
3446-57 WI
Self-reported in NPPES; status is on the state search
Practice location
455 Shawnee LN, Chillicothe, OH 45601
Phone
(740) 779-4888
Enumerated
Dec 4, 2006
Record last updated
Dec 14, 2022
Fax
(740) 779-4898
Medicaid ID
0108112 OH
Medicare enrollment
Enrolled (PECOS I20150427001426); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 455 Shawnee LN

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emmanuel Akpan, DOPsychiatry Physician1205578770
  2. Nafisa Asad, DOPsychiatry Physician1023805249
  3. Danielle Ball, LSWClinical Social Worker1881112662
  4. Taylor Barnwell, DOStudent in an Organized Health Care Education/Training Program1891323077
  5. Cristen Collins, M.D.Psychiatry Physician1952788069
  6. Rebecca Ekstrand, DOPsychiatry Physician1003303868

Verify Samuel Thomas Gontkovsky in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Ohio board licenses this profession
    Search for license 7285
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

The MIPS final score for 2023 (Medicare payment program): 83.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score58.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Adena Medical Group LLCChillicothe, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Samuel Thomas Gontkovsky among 1,581 clinical psychologist records in Ohio

Samuel Thomas Gontkovsky, PSY.D. is one of 1,581 clinical psychologist records with a practice address in Ohio. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.

  • NPI issued2006 · 5% of these records are older, 64% newer
  • In a Medicare fileYes · 19% of these records are
  • In the CMS Doctors and Clinicians fileYes · 28% of these records are
  • Graduated1999 · median 2002 among the 445 with a school on file
  • Record last updated2022 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Ohio

There are 1,581 clinical psychologist records in Ohio.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Nathan Bidlack, PSY.D.Chillicothe, OH 456011730414368
  2. George Bowen, PHDChillicothe, OH 456011760592141
  3. Laurence Gore, PH.D.Chillicothe, OH 456011720129794
  4. James Hagen, PHDChillicothe, OH 456011396758629
  5. Robert Hayes, PSY.D.Chillicothe, OH 456011972606952
  6. Jonathan Lehman, PSY.D.Chillicothe, OH 456011588621270
  7. Kamara McGill, PH.D.Chillicothe, OH 456011265652739
  8. Jeremy McKay, PH.DChillicothe, OH 456011043397474

Common questions

What is Samuel Thomas Gontkovsky, PSY.D.'s NPI number?

Samuel Thomas Gontkovsky, PSY.D.'s National Provider Identifier (NPI) is 1801954920, issued on Dec 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Samuel Thomas Gontkovsky, PSY.D. located?

The NPPES record lists a practice address at 455 Shawnee LN, Chillicothe, OH, 45601. Phone: (740) 779-4888. Providers update this record themselves, so call before visiting.

How can I verify Samuel Thomas Gontkovsky, PSY.D.'s license?

NPPES lists Ohio license number 7285, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.

What is Samuel Thomas Gontkovsky, PSY.D.'s MIPS final score?

The 2023 MIPS final score is 83.3 of 100. 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.