SAMANTHA LYN BECK (MD) – Surgery Physician, NPI 1104054642

SAMANTHA LYN BECK (MD) is a healthcare provider. based in Wichita, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 04-37195 (KS). The NPI Number for SAMANTHA LYN BECK (MD) is 1104054642

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LYN BECK (MD)
NPI
1104054642
Phone
(316) 858-5000
Address
9350 E 35TH ST N STE 103
Enumeration Date
23 June 2009
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3168583460
Graduation Year
2009 (17 years ago)
PAC ID
3779731377
Group Practice PAC ID
5799696944
Professional Enrollment ID
I20140710000363
Address ID
KS672143707WI707XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

Provider Addresses for SAMANTHA LYN BECK (MD)

  • 9350 E 35TH ST N STE 103

    WICHITA, KS 672262022

    Phone: (316) 858-5000

    Type: Location

  • 818 N Emporia St Ste 200

    Wichita, KS 672143726

    Phone: (316) 263-0296

    Type: Location

  • 551 N Hillside St Ste 201

    Wichita, KS 672144923

    Phone: (316) 263-0296

    Type: Location

  • 818, South Emporia Street, Wichita, Sedgwick County, Kansas, 67211, United States

    SUITE 200

    WICHITA, KS 67214

    Phone: (316) 263-0296

    Fax: (316) 494-6897

    Type: Mailing

  • 551 N HILLSIDE ST STE 201

    WICHITA, KS 672144925

    Phone: (316) 263-0296

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $309.

Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($297).

Total Amount

$309

General + Research + Ownership

Payments

5

Total payment records

General Amount

$309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

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: 2014-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1040 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20140710000363IGeneral SurgeryKS2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99205New patient office or other outpatient visit, 60-74 minutes5454$0
19301Partial removal of breast4939$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4027$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
38525Biopsy or removal of deep lymph nodes of underarm3535$0
View full utilization report →

Insurance plans in this area (ZIP 67226)

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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: 5799696944View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineKS
Internal Medicine, Cardiovascular Disease (Cardiology)KS
Anesthesiology, Critical Care (Intensivists)MO
Cardiovascular Disease (Cardiology), Internal MedicineKS
Anesthesiology, Critical Care (Intensivists)KS
P S Y C H I A T R YOH
-KS
Nurse PractitionerKS
-KS
Critical Care (Intensivists), NeurologyAZ

Reviews

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Frequently asked questions

Can I use this page to confirm SAMANTHA LYN BECK (MD)'s NPI?
Yes. SAMANTHA LYN BECK (MD) is listed with NPI 1104054642 in the public NPI dataset.
Can I rely on SAMANTHA LYN BECK (MD) being an active provider?
As of the registry snapshot, SAMANTHA LYN BECK (MD) is marked active.
What healthcare role does SAMANTHA LYN BECK (MD) hold?
Scheduling teams often label SAMANTHA LYN BECK (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SAMANTHA LYN BECK (MD)?
SAMANTHA LYN BECK (MD)'s geographic hint is Wichita, Kansas in our summary view.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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