SAMANTHA DAWN WARDEN (MD) – Family Medicine Physician, NPI 1013531805
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for SAMANTHA DAWN WARDEN (MD)
PO BOX 959354
SAINT LOUIS, MO 631959354
Phone: (636) 344-2400
Fax: (636) 344-2401
Type: Mailing
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
515 MAPLE VALLEY DR
FARMINGTON, MO 636401919
Phone: (573) 760-7920
Fax: (573) 756-9597
Type: Location
515 Maple Valley Dr
Farmington, MO 636401919
Phone: (573) 760-7920
Fax: (573) 756-9597
Type: Location
750 BROADWAY STE 350
FORT WAYNE, IN 468021412
Phone: (260) 423-2675
Fax: (260) 423-6621
Type: Mailing
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 633682207
Phone: (636) 344-2400
Fax: (636) 344-2401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $13 |
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: 2023-07-31
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 |
|---|---|---|---|---|
| I20230731002782 | I | Family Practice | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO |
Reviews
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