SAMANTHA KOZAK LIEM (NP) – Adult Health Nurse Practitioner, NPI 1275979312
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for SAMANTHA KOZAK LIEM (NP)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Mailing
PO BOX 7630
GURNEE, IL 600317002
Phone: (847) 244-6320
Type: Mailing
1415 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL 600053765
Phone: (847) 439-1005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $3,303.
Total Amount is formed as General ($3,303) + Research ($0) + Ownership ($0) = $3,303.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($714).
Total Amount
$3,303
General + Research + Ownership
Payments
174
Total payment records
General Amount
$3,303
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $714 |
| Janssen Biotech, Inc. | $669 |
| Takeda Pharmaceuticals U.S.A., Inc. | $449 |
| Celgene Corporation | $255 |
| Phathom Pharmaceuticals, Inc. | $141 |
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: 2023-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180905001373 | I | Nurse Practitioner | IL | TBD |
| I20230511003487 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 4,800 | 12 | $0 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 960 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 112 | 112 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 85 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| P A T H O L O G Y | WI | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| - | IL | |
| G A S T R O E N T E R O L O G Y | IL |
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