Doctor profile · Federal record
Dr. Samantha Goutermout, NP
Nurse Practitioner · Fulton, NY
- NPI 1114657228
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
522 S 4Th St
Fulton, NY 130692946
(315) 592-3930
fax (315) 592-3932 - Mailing address
-
110 W 6Th St
Oswego, NY 131262507
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- March 29, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- New York #717095
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114657228. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
104
Distinct HCPCS
2
Medicare allowed
$8,686
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 66 | 46 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 38 | 21 | $104 |
In context: peer comparison
Among 1 peers in Fulton Nurse Practitioner, average services per provider: 52. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$208
Transactions
10
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, INC. | 3 | $72.33 | |
| Abbvie INC. | 2 | $39.30 | |
| GlaxoSmithKline, LLC. | 2 | $32.46 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $26.37 | |
| Novo Nordisk INC | 1 | $20.28 | |
| Exact Sciences Corporation | 1 | $16.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
509
Patients
131
Total drug cost
$7,136
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 74 | 21 | $1,027 |
| Losartan Potassium | Generic | 64 | 16 | $668 |
| Levothyroxine Sodium | Generic | 47 | 0 | $496 |
| Omeprazole | Generic | 42 | 16 | $693 |
| Metformin Hcl | Generic | 34 | 13 | $338 |
| Fluticasone Propionate | Generic | 31 | 18 | $632 |
| Prednisone | Generic | 29 | 25 | $73 |
| Venlafaxine Hcl ER (Venlafaxine Hcl) | Brand | 28 | 0 | $1,915 |
| Glipizide | Generic | 26 | 0 | $69 |
| Montelukast Sodium | Generic | 26 | 0 | $203 |
Hospital affiliations
Frequently asked questions
What is Dr. Samantha Goutermout's medical specialty?
Dr. Samantha Goutermout practices Nurse Practitioner in Fulton, NY.
Where does Dr. Samantha Goutermout practice?
Dr. Samantha Goutermout practices at 522 S 4Th St, Fulton, NY 130692946. Office phone: 3155923930.
What is Dr. Samantha Goutermout's NPI?
Dr. Samantha Goutermout's National Provider Identifier (NPI) is 1114657228, issued by NPPES.
Does Dr. Samantha Goutermout accept Medicare assignment?
Yes. Dr. Samantha Goutermout accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samantha Goutermout commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.