Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jennifer L Samples , PA-C

Physician Assistant โ€ข Middletown, NY

Active NPI 1427020056 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

111 Maltese Dr
Middletown, NY 109402115

Call 8453424774 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 Maltese Dr

Middletown, NY 109402115

Telephone 8453424774
Fax 8453428741
Organization at the Same NPPES Address or Phone
Middletown Medical Pc Facility NPI 1902855828

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Middletown Medical Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2003

Medicare patients

99 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $47,553 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $38,506 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,465 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$219,503 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,341.33 across 75 records.

By nature of payment

  • Food and Beverage: $1,341.33 across 75 records.

Reporting-company totals (3 largest of 14)

  • AstraZeneca Pharmaceuticals LP: $241.61 across 13 records.
  • Pfizer Inc.: $207.48 across 12 records.
  • Eli Lilly and Company: $177.35 across 10 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jennifer Samples has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jennifer Samples as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Middletown and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Middletown, NY (2024, 36 clinicians with data). Median for this group: 255. Middle half: 46 to 1,305.

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Middletown, NY (2024, 36 clinicians with data). Median for this group: $19,648. Middle half: $5,436 to $52,994.

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $12,004. Middle half: $4,378 to $28,196.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Middletown, NY (2024, 36 clinicians with data). Median for this group: $14,647. Middle half: $3,699 to $40,729.

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $8,890. Middle half: $3,209 to $20,987.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Middletown, NY (2024, 33 clinicians with data). Median for this group: 211. Middle half: 86 to 692.

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: 172. Middle half: 46 to 640.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Middletown, NY (2024, 33 clinicians with data). Median for this group: $3,918. Middle half: $685 to $53,174.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: $2,860. Middle half: $381 to $63,975.

74 active clinicians are listed under Physician Assistant with a practice address in Middletown, NY (15,558 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Middletown

18.9% of these 74 clinicians have the CMS telehealth indicator.

51.4% of these 74 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 75 records totaling $1,341.33.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $58.88
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $32.93
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $32.06
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $27.85
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $27.00
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $26.96
Ipsen Biopharmaceuticals, Inc
Food and Beverage
In-kind items and services
IQIRVO General $24.88
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $23.89
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $23.70
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $23.48
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $23.07
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $22.94
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $22.65
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $22.56
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $22.46
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $22.45
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $22.10
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $21.89
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $21.35
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $20.85
Esperion Therapeutics, Inc.
Food and Beverage
In-kind items and services
NEXLETOL General $20.72
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $20.28
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $20.16
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $19.64
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $19.60

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
313 87 $8.78 $8.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
192 88 $149.11 $94.55
80053 Blood test, comprehensive group of blood chemicals
170 81 $12.01 $10.29
80061 Blood test, lipids (cholesterol and triglycerides)
160 78 $14.44 $13.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
148 72 $17.39 $14.60
83036 Hemoglobin a1c level
124 68 $10.69 $9.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
101 68 $8.17 $7.61
82306 Vitamin d-3 level
76 56 $32.11 $28.85
84443 Blood test, thyroid stimulating hormone (tsh)
62 51 $17.58 $16.19
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
56 54 $111.18 $70.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
51 51 $153.94 $90.48
99497 Advance care planning, first 30 minutes
47 47 $93.39 $59.29
82607 Cyanocobalamin (vitamin b-12) level
45 32 $15.97 $14.45
82746 Folic acid level, serum
44 33 $15.62 $14.08
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
39 37 $16.76 $13.00
82728 Ferritin (blood protein) level
26 20 $13.63 $13.36
83540 Iron level
26 20 $7.11 $6.10
83550 Iron binding capacity
26 20 $9.60 $8.24
80048 Blood test, basic group of blood chemicals (calcium, total)
21 13 $8.46 $8.29
84439 Thyroxine (thyroid chemical), free
19 12 $9.02 $8.84
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
18 18 $31.54 $21.37
G0008 Administration of influenza virus vaccine
17 17 $30.00 $29.40
81002 Urinalysis, manual test
14 12 $3.48 $3.41
G0103 Prostate cancer screening; prostate specific antigen test (psa)
12 12 $19.31 $18.92
G0009 Administration of pneumococcal vaccine
11 11 $30.00 $29.40

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 123 10,110 $1,966.02 39
Amlodipine Besylate Amlodipine Besylate 76 5,940 $803.62 21
Atorvastatin Calcium Atorvastatin Calcium 74 6,600 $1,197.55 22
Levothyroxine Sodium Levothyroxine Sodium 68 4,545 $717.40 15
Omeprazole Omeprazole 60 4,380 $473.86 17
Zolpidem Tartrate Zolpidem Tartrate 50 1,484 $109.98 โ€”
Metformin Hcl Er Metformin Hcl 44 3,420 $271.33 12
Alprazolam Alprazolam 42 1,250 $172.97 โ€”
Oxycodone Hcl Oxycodone Hcl 41 1,230 $957.72 โ€”
Duloxetine Hcl Duloxetine Hcl 39 2,730 $809.11 โ€”
Montelukast Sodium Montelukast Sodium 38 3,300 $527.89 14
Warfarin Sodium Warfarin Sodium 34 2,580 $249.02 โ€”
Metoprolol Succinate Metoprolol Succinate 34 3,060 $568.32 14
Furosemide Furosemide 31 2,237 $71.88 11
Pantoprazole Sodium Pantoprazole Sodium 31 2,613 $235.00 11
Pregabalin Pregabalin 31 930 $394.75 โ€”
Olmesartan Medoxomil Olmesartan Medoxomil 29 2,610 $1,203.14 โ€”
Ozempic Semaglutide 29 1,022 $32,152.38 โ€”
Sertraline Hcl Sertraline Hcl 28 1,560 $208.00 โ€”
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 25 727 $689.92 โ€”
Metformin Hcl Metformin Hcl 25 2,110 $160.95 โ€”
Ezetimibe Ezetimibe 25 2,193 $1,049.07 โ€”
Mounjaro Tirzepatide 25 1,374 $49,071.29 โ€”
Hydrochlorothiazide Hydrochlorothiazide 24 2,160 $98.07 โ€”
Farxiga Dapagliflozin Propanediol 24 2,100 $36,751.45 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 009761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License
009761 (NY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20070427000054

Enrollment State Jurisdiction

NY

PECOS Control ID

4082710769

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Middletown Medical Pc

95 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

47 N Plank Rd, Newburgh, NY 125502114

Phone: 8455612038

Middletown Medical Pc

111 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

75 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Imad Abushahin , MD

Orthopaedic Surgery

NPI 1275013609

Doctor of Medicine (M.D.)

Dr. Christopher Allen , MD

Obstetrics & Gynecology

NPI 1023217148

Doctor of Medicine (M.D.)

Dr. Koshnaf Antar , MD

Internal Medicine - Rheumatology

NPI 1720194152

Doctor of Medicine (M.D.)

Brandi Aquino , PA

Physician Assistant

NPI 1194814673

Physician Assistant

Dr. Esther Arguello Perez , MD

Internal Medicine - Infectious Disease

NPI 1598039091

Doctor of Medicine (M.D.)

NPI 1861573966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location August 02, 2017

Registered at 111 MALTESE DR, MIDDLETOWN, NY 109402115 (Tel: 8453424774)

๐Ÿ“
Updated Business Mailing Address August 02, 2017

Registered at 111 MALTESE DRIVE, MIDDLETOWN, NY 10940 (Tel: 8453424774)

๐Ÿ‘ค
Provider Name / Credentials Updated August 02, 2017

Recorded as JENNIFER SAMPLES, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Physician Assistant (license number reported to NPPES: NY 009761)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 109 ROUTE 376, HOPEWELL JUNCTION, NY 125337212 (Tel: 8452219141)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 5 HUDSON HARBOUR DR, POUGHKEEPSIE, NY 126015348 (Tel: 2012189342)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JENNIFER HEINZE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (license number reported to NPPES: NY 009761)

๐ŸŸข
Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427020056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: August 02, 2017
Sole Proprietor: No

Other Physician Assistants in Middletown

All Physician Assistants in Middletown

Mailing Address

111 Maltese Drive

Middletown, NY 10940

Phone: 8453424774

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.