SAMANTHA JANE DIAL (MD) – Clinical Neurophysiology Physician, NPI 1669767562
Clinical Neurophysiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
94 NEUROLOGY in ME
Provider Addresses for SAMANTHA JANE DIAL (MD)
415 N 9TH ST
PO BOX 19635
SPRINGFIELD, IL 627025303
Phone: (217) 545-8000
Fax: (217) 545-8115
Type: Mailing
46 BARRA RD STE 101
BIDDEFORD, ME 040059461
Phone: (207) 282-5509
Fax: (207) 294-3543
Type: Mailing
415 N 9th St
SUITE 2W94
Springfield, IL 627025303
Phone: (217) 545-8000
Fax: (217) 545-8115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 189 Open Payments records for all available years, with a total value of $2,357.
Total Amount is formed as General ($2,357) + Research ($0) + Ownership ($0) = $2,357.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($1,120).
Total Amount
$2,357
General + Research + Ownership
Payments
189
Total payment records
General Amount
$2,357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,120 |
| PFIZER INC. | $570 |
| Novartis Pharmaceuticals Corporation | $304 |
| Kyowa Kirin, Inc. | $57 |
| Sumitomo Pharma America, Inc. | $43 |
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160819000400 | I | Neurology | IL | TBD |
| I20210820001135 | I | Neurology | KY | TBD |
| I20251212002550 | I | Neurology | ME | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 8,955 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 186 | 117 | $0 |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 94 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 51 | 38 | $0 |
Insurance plans in this area (ZIP 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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