Individual provider Active NPI

Samuel Tyler Leger, PA-C

  • Medical Physician Assistant
  • Gardner, MA
National Provider Identifier
1255729919
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5320 Issued in MA
Practice address
242 Green St
Gardner, MA 01440-1336
Phone
(978) 632-3420
NPI assigned
Jan 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1905 ME
Medical Physician Assistant 363AM0700X PA5320 MA Primary

Addresses

Primary practice location

242 Green St
Gardner, MA 01440-1336

Mailing address

15 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2478

Other practice location 1

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160816000142 MA Practitioner - Physician Assistant 4486948320 Reassigns benefits to 3 organizations
I20190422002010 ME Practitioner - Physician Assistant 4486948320 Reassigns benefits to 2 organizations
I20210223000140 NH Practitioner - Physician Assistant 4486948320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
Ocumed LLCGroup PAC ID 7719410018, 31 clinicians

Practice addresses (Care Compare)

112 Sanford Rd
Wells, ME 04090-5533

114 Sanford Rd
Myhealth Wells
Wells, ME 04090-5533
Phone (207) 646-5211

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1681NHMDDentist
PA5320MAMDMedical Physician Assistant
PA1905MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jun 7, 2016 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Jul 22, 2019 Accepting new patients
Seacoast Emergency Physicians, PC Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

242 Green St
Ste 205
Gardner, MA 01440

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: leger.samuel.wdh@direct.partners.masshiway.net
  • Direct secure messaging: sleger46927@tuftsmedicine.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1255729919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-632-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091011",
            "country_code": "US",
            "telephone_number": "207-363-4321",
            "fax_number": "207-363-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGER",
        "first_name": "SAMUEL",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1905",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.