Samantha Pederson, PA-C
NPI 1033885504 · Medical Physician Assistant · Lincoln, NE
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Pederson, PA-C is a Medical Physician Assistant provider in Lincoln, NE (NPI 1033885504).
Provider details
- NPI number
- 1033885504
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2565 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
471 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 136 | $100 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 102 | $70 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 72 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 30 | $13 |
| Advance Care Planning, First 30 Minutes99497 | 27 | $64 |
| Hemoglobin A1c Level83036 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 95 | 16 |
| Atorvastatin Calcium | 48 | 16 |
| Levothyroxine Sodium | 42 | — |
| Rosuvastatin Calcium | 42 | 13 |
| Alprazolam | 39 | 18 |
| Dapagliflozin Propanediolbrand: Farxiga | 36 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,258 across 61 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Frequently asked questions
- What is Samantha Pederson's NPI number?
- Samantha Pederson's National Provider Identifier (NPI) is 1033885504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Pederson's specialty?
- Samantha Pederson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Pederson located?
- Samantha Pederson's practice location on file with NPPES is 5200 S 56th St Ste 2, Lincoln, NE 68516-1891.
- What is Samantha Pederson's phone number?
- The practice phone number listed in the NPPES registry for Samantha Pederson is (402) 421-6200.
- Does Samantha Pederson accept Medicare?
- Samantha Pederson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Pederson's NPI active?
- Yes — Samantha Pederson's NPI (1033885504) is active in the NPPES registry as of the last update on 2022-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.