Doctor profile · Federal record
Dr. Sammantha Kouba, DO
Infectious Disease Physician (CMS: Infectious Disease) · Internal Medicine Physician · Student in an Organized Health Care Education/Training Program · Fargo, ND
- NPI 1760877344
- Accepts Medicare
- MIPS 83.0 / 100 · 2023
- 11 yrs in practice
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
5225 23Rd Ave S
Fargo, ND 581047927
(701) 417-2575
fax (701) 417-2535 - Additional location
-
200 Hawkins Dr
Iowa City, IA 52242
(319) 356-8969
fax (319) 356-4600 - Additional location
-
736 Broadway N
Fargo, ND 581024421
(701) 234-2000 - Additional location
-
2800 N. Vancouver Ste 230
Portland, OR 97227
(503) 413-7074
fax (503) 413-6892 - Mailing address
-
Po Box 5074
Sioux Falls, SD 571175074
Show 1 more location
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- April 19, 2022
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207RI0200X — NUCC code
- State licenses (3)
- North Dakota #16710 · Iowa #DO-05366 · Oregon #PG172349
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760877344. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
255
Distinct HCPCS
4
Medicare allowed
$23,651
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 117 | 50 | $76 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 72 | 70 | $127 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 45 | 30 | $63 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $130 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 77. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$80
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US Inc | 2 | $54.80 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
94
Patients
11
Total drug cost
$88,161
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cefazolin Sodium | Generic | 27 | 0 | $1,075 |
| Cefadroxil | Generic | 23 | 11 | $1,389 |
| Biktarvy (Bictegrav/Emtricit/Tenofov Ala) | Brand | 21 | 0 | $85,548 |
| Penicillin V Potassium | Generic | 12 | 0 | $22 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 11 | 0 | $127 |
Hospital affiliations
Frequently asked questions
What is Dr. Sammantha Kouba's medical specialty?
Dr. Sammantha Kouba practices Infectious Disease Physician in Fargo, ND.
Where does Dr. Sammantha Kouba practice?
Dr. Sammantha Kouba practices at 5225 23Rd Ave S, Fargo, ND 581047927. Office phone: 7014172575.
What is Dr. Sammantha Kouba's NPI?
Dr. Sammantha Kouba's National Provider Identifier (NPI) is 1760877344, issued by NPPES.
Does Dr. Sammantha Kouba accept Medicare assignment?
Yes. Dr. Sammantha Kouba accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sammantha Kouba commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.