SAMANTHA JOANN CLARKE (PA) – Physician Assistant, NPI 1023624707
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for SAMANTHA JOANN CLARKE (PA)
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 554224841
Phone: (952) 512-5600
Type: Mailing
2800 CHICAGO AVE STE 300
MINNEAPOLIS, MN 554071353
Phone: (651) 225-7855
Fax: (651) 312-1570
Type: Location
518 W LOCUST ST
DAVENPORT, IA 528032829
Phone: (563) 333-5886
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $624.
Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.
Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($506).
Total Amount
$624
General + Research + Ownership
Payments
8
Total payment records
General Amount
$624
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $506 |
| Medtronic, Inc. | $52 |
| Axonics, Inc. | $48 |
| Ferring Pharmaceuticals Inc. | $18 |
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: 2022-10-24
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 |
|---|---|---|---|---|
| I20221024000106 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 95970 | Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator | 26 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 17 | $0 |
Insurance plans in this area (ZIP 55422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Obstetrics/Gynecology, Gynecological Oncology | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | TX | |
| Nurse Practitioner | MN | |
| - | MN | |
| Medical Oncology | MN | |
| Colorectal Surgery (Proctology), General Surgery | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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