Samaritan Sports Medicine PLLC
NPI 1407734031 · Sports Medicine (Family Medicine) Physician · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samaritan Sports Medicine PLLC is a Sports Medicine (Family Medicine) Physician organization in Raleigh, NC (NPI 1407734031).
Provider details
- NPI number
- 1407734031
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Petty, Owner(919) 648-0618
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Samaritan Sports Medicine PLLC's NPI number?
- Samaritan Sports Medicine PLLC's National Provider Identifier (NPI) is 1407734031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samaritan Sports Medicine PLLC?
- Samaritan Sports Medicine PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Samaritan Sports Medicine PLLC located?
- Samaritan Sports Medicine PLLC's practice location on file with NPPES is 8300 Falls of Neuse Rd Ste 110, Raleigh, NC 27615-3450.
- What is Samaritan Sports Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Samaritan Sports Medicine PLLC is (919) 648-0618.
- Does Samaritan Sports Medicine PLLC accept Medicare?
- Samaritan Sports Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samaritan Sports Medicine PLLC?
- The authorized official listed on Samaritan Sports Medicine PLLC's NPPES record is Benjamin Petty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samaritan Sports Medicine PLLC's NPI active?
- Yes — Samaritan Sports Medicine PLLC's NPI (1407734031) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.