Doctor profile · Federal record
Dr. Samuel Gontkovsky, PSY.D.
Clinical Psychologist · Clinical Psychologist · Clinical Psychologist · Clinical Psychologist · Chillicothe, OH
- NPI 1801954920
- MIPS 79.4 / 100 · 2023
- 20 yrs on file
- Licensed in 4 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
455 Shawnee Ln
Chillicothe, OH 456014145
(740) 779-4888
fax (740) 779-4898
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- December 14, 2022
- Specialty taxonomy
- 103TC0700X — NUCC code
- State licenses (4)
- Ohio #7285 · Wisconsin #3446-57 · Nebraska #723 · Mississippi #42692
- Medicaid
- OH #0108112
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801954920. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
68
Distinct HCPCS
2
Medicare allowed
$7,107
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90834 |
Psychotherapy, 45 minutes | 48 | 16 | $86 | |
90791 |
Psychiatric diagnostic evaluation | 20 | 20 | $148 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 34. This provider delivers 2.0× the peer median.Frequently asked questions
What is Dr. Samuel Gontkovsky's medical specialty?
Dr. Samuel Gontkovsky practices Clinical Psychologist in Chillicothe, OH.
Where does Dr. Samuel Gontkovsky practice?
Dr. Samuel Gontkovsky practices at 455 Shawnee Ln, Chillicothe, OH 456014145. Office phone: 7407794888.
What is Dr. Samuel Gontkovsky's NPI?
Dr. Samuel Gontkovsky's National Provider Identifier (NPI) is 1801954920, issued by NPPES.
What procedures does Dr. Samuel Gontkovsky commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.