Individual provider Active NPI

Samantha R McNail, M.D.

  • Dermatology Physician
  • Farmington, MO
National Provider Identifier
1902844459
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2006001565 Issued in MO
Practice address
1223 Maple St
Farmington, MO 63640-7616
Phone
(573) 760-0091
Fax
(573) 760-8844
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2006001565 MO Primary

Addresses

Primary practice location

1223 Maple St
Farmington, MO 63640-7616

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

130 Richardson Xing Ste 130
Arnold, MO 63010-6023
Phone (636) 489-4770

Other names 1

  • Samantha R Yarbro Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Samantha.McNail@forefrontdermatology.emadirect.md
Direct Messaging Address Samantha.McNail@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000172 MO Practitioner - Dermatology 3476564543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

Hospital & facility affiliations

  • Parkland Health Center Hospital, Farmington, MO, CCN 260163

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions900
Removal of nail tissue1-10
Removal or shaving of skin growth21
Skin biopsy331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006001565MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

130 Richardson Xing
Ste 130
Arnold, MO 63010
Phone (636) 489-4770

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parkland Health Center - FarmingtonFarmington, MO, CCN 260163 Hospital Corporate Director
Operational/Managerial Control
Jan 1, 2023
Jan 1, 2023
Parkland Health Center - Bonne TerreBonne Terre, MO, CCN 260779 Hospital Corporate Director
Operational/Managerial Control
Jan 1, 2023
Jan 1, 2023
Parkland Health Center Medical ClinicFarmington, MO, CCN 268794 Rural health clinic Corporate Director Jan 1, 2023
Parkland Health Center Primary Care ClinicFarmington, MO, CCN 268807 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1902844459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MAPLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407616",
            "telephone_number": "573-760-0091",
            "fax_number": "573-760-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Richardson Xing Ste 130",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630106023",
            "country_code": "US",
            "telephone_number": "636-489-4770",
            "fax_number": "636-489-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAIL",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2006001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.McNail@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1223 Maple St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636407616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.McNail@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "130 Richardson Xing Ste 130",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630106023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "YARBRO",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.