SAMANTHA JO PUSHCHAK (PA-C) – Physician Assistant, NPI 1043863285

SAMANTHA JO PUSHCHAK (PA-C) is a healthcare provider. based in Englewood, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0005852 (CO). The NPI Number for SAMANTHA JO PUSHCHAK (PA-C) is 1043863285

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JO PUSHCHAK (PA-C)
NPI
1043863285
Phone
(303) 306-4321
Address
799 E Hampden Ave Ste 315
Enumeration Date
17 July 2019
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3971930710
Group Practice PAC ID
3577988864
Professional Enrollment ID
I20200217004496
Address ID
CO801132762EN300XXAVEX401
Telehealth
Yes

Contacts

Other Endpoint
PracticeFusion
Other Endpoint
AdvancedMD
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:6State licenses:2Other names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for SAMANTHA JO PUSHCHAK (PA-C)

  • 799 E Hampden Ave Ste 315

    Englewood, CO 801132762

    Phone: (303) 306-4321

    Type: Location

  • 305, East Harvard Avenue, Rosedale, Denver, Denver County, Colorado, 80210, United States

    DENVER, CO 802105076

    Phone: (303) 306-4321

    Type: Mailing

  • 1000 SOUTHPARK DR

    LITTLETON, CO 801205654

    Phone: (303) 744-1065

    Fax: (303) 733-1699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 195 Open Payments records for all available years, with a total value of $4,910.

Total Amount is formed as General ($4,910) + Research ($0) + Ownership ($0) = $4,910.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($843).

Total Amount

$4,910

General + Research + Ownership

Payments

195

Total payment records

General Amount

$4,910

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200217004496IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96127Assessment of emotional or behavioral problems28781$0
99214Established patient office or other outpatient visit, 30-39 minutes20170$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms10235$0
99213Established patient office or other outpatient visit, 20-29 minutes10148$0
80307Testing for presence of drug, by chemistry analyzers9331$0
View full utilization report →

Insurance plans in this area (ZIP 80113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577988864View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
-CO
Physician AssistantCO
Nurse PractitionerCO
Family PracticeTX
Physician AssistantCO
Family PracticeCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

How do payers reference SAMANTHA JO PUSHCHAK (PA-C)?
For SAMANTHA JO PUSHCHAK (PA-C), use NPI 1043863285 as the unique 10-digit identifier.
Is SAMANTHA JO PUSHCHAK (PA-C) still an active registrant?
SAMANTHA JO PUSHCHAK (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for SAMANTHA JO PUSHCHAK (PA-C)?
At a glance, SAMANTHA JO PUSHCHAK (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SAMANTHA JO PUSHCHAK (PA-C) associated with Englewood?
Public fields place SAMANTHA JO PUSHCHAK (PA-C) around Englewood, Colorado. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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