MR. SAMUEL MAURICIO CORDOVA (PA-C) – Physician Assistant, NPI 1326137225
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MR. SAMUEL MAURICIO CORDOVA (PA-C)
4300, Commerce Court, Lisle, DuPage County, Illinois, 60532, United States
SUITE 230
LISLE, IL 605323698
Phone: (630) 968-1881
Fax: (630) 968-1719
Type: Mailing
Rickert Drive, Naperville, DuPage County, Illinois, 60540, United States
NAPERVILLE, IL 605408904
Phone: (630) 355-1300
Fax: (630) 355-3273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Stryker Corporation ($82).
Total Amount
$82
General + Research + Ownership
Payments
4
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $82 |
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: 2017-03-13
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 |
|---|---|---|---|---|
| I20060317000172 | I | Physician Assistant | IL | TBD |
| I20170313002349 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 350 | 83 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 202 | 121 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 202 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 193 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 180 | 151 | $0 |
Insurance plans in this area (ZIP 60532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Nurse Practitioner | IN | |
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| - | IN | |
| Nurse Practitioner | IN |
Reviews
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