Doctor profile · Federal record
Dr. Samantha Pederson, PA-C
Medical Physician Assistant (CMS: Physician Assistant) · Family Medicine Physician · Lincoln, NE
- NPI 1033885504
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5200 S 56Th St Ste 2
Lincoln, NE 685161891
(402) 421-6200
fax (402) 421-6070
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Profile last updated
- September 1, 2022
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Nebraska #2565
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033885504. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
374
Distinct HCPCS
7
Medicare allowed
$22,486
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 152 | 111 | $69 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 74 | 60 | $98 | |
36415 |
Insertion of needle into vein for collection of blood sample | 55 | 41 | $8 | |
99497 |
Advance care planning, first 30 minutes | 25 | 25 | $65 | |
81002 |
Urinalysis, manual test | 24 | 17 | $3 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | 23 | $102 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 21 | 21 | $14 |
In context: peer comparison
Among 20 peers in this city , average services per provider: 162. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$1,258
Transactions
61
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 11 | $261.39 | |
| Astellas Pharma US Inc | 4 | $187.00 | |
| Lilly USA, LLC | 14 | $169.06 | |
| AstraZeneca Pharmaceuticals LP | 5 | $167.25 | |
| ABBVIE INC. | 8 | $135.04 | |
| Novartis Pharmaceuticals Corporation | 6 | $105.18 | |
| PFIZER INC. | 4 | $82.51 | |
| Esperion Therapeutics, Inc. | 3 | $44.50 | |
| SANOFI-AVENTIS U.S. LLC | 2 | $38.70 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $21.39 | |
| Corcept Therapeutics | 1 | $17.52 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $14.85 | |
| Amgen Inc. | 1 | $14.06 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
409
Patients
124
Total drug cost
$91,826
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Alprazolam | Generic | 65 | 22 | $440 |
| Levothyroxine Sodium | Generic | 36 | 12 | $692 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 29 | 0 | $20,644 |
| Trulicity (Dulaglutide) | Brand | 29 | 0 | $35,711 |
| Amlodipine Besylate | Generic | 27 | 0 | $334 |
| Ozempic (Semaglutide) | Brand | 26 | 0 | $32,201 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 24 | 22 | $166 |
| Atorvastatin Calcium | Generic | 24 | 14 | $265 |
| Metformin Hcl | Generic | 23 | 0 | $289 |
| Rosuvastatin Calcium | Generic | 23 | 0 | $367 |
Hospital affiliations
Frequently asked questions
What is Dr. Samantha Pederson's medical specialty?
Dr. Samantha Pederson practices Medical Physician Assistant in Lincoln, NE.
Where does Dr. Samantha Pederson practice?
Dr. Samantha Pederson practices at 5200 S 56Th St Ste 2, Lincoln, NE 685161891. Office phone: 4024216200.
What is Dr. Samantha Pederson's NPI?
Dr. Samantha Pederson's National Provider Identifier (NPI) is 1033885504, issued by NPPES.
Does Dr. Samantha Pederson accept Medicare assignment?
Yes. Dr. Samantha Pederson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samantha Pederson 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); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.