SAMANTHA LOBRACO (PA-C) – Physician Assistant, NPI 1205453891
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for SAMANTHA LOBRACO (PA-C)
750 W Lake Cook Rd Ste 270
Buffalo Grove, IL 600892069
Phone: (847) 381-8899
Fax: (847) 381-8999
Type: Location
1531 S GROVE AVE UNIT 101
BARRINGTON, IL 600105250
Phone: (847) 381-8899
Fax: (847) 381-8999
Type: Mailing
85 W ALGONQUIN RD STE 220
ARLINGTON HEIGHTS, IL 600054423
Phone: (847) 381-8899
Fax: (847) 381-8999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($119).
Total Amount
$119
General + Research + Ownership
Payments
6
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $119 |
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: 2020-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200806000934 | I | Physician Assistant | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 647 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 141 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 228 | 125 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 190 | 143 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 151 | 94 | $0 |
Insurance plans in this area (ZIP 60089)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Dermatology, Internal Medicine | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL |
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