SAMANTHA LOREN TRAPHAGAN (P.A.) – Physician Assistant, NPI 1124677059
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for SAMANTHA LOREN TRAPHAGAN (P.A.)
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States
COLUMBIA, MO 652120001
Phone: (573) 882-8091
Fax: (573) 884-1902
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-10-27
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 |
|---|---|---|---|---|
| I20191209000636 | I | Physician Assistant | MO | TBD |
| I20210701001976 | I | Physician Assistant | WY | TBD |
| I20231027001124 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 175 | 159 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 107 | 103 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 38 | 38 | $0 |
Insurance plans in this area (ZIP 64184)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CO | |
| Orthopedic Surgery | CO | |
| - | CO | |
| General Surgery, Critical Care (Intensivists) | CO | |
| Family Practice | KS | |
| A L L E R G Y/ I M M U N O L O G Y | CO | |
| - | CO | |
| Neurology, Psychiatry | CO | |
| Physician Assistant | CO | |
| Family Practice | CO |
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