SAMANTHA JO BOYER – Family Medicine Physician, NPI 1669976080
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
954 FAMILY PRACTICE in NE
Provider Addresses for SAMANTHA JO BOYER
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 684103320
Phone: (402) 873-4242
Type: Mailing
Hall Road, Glenwood Park, Englewood, Independence, Jackson County, Missouri, 64052, United States
INDEPENDENCE, MO 640521453
Phone: (402) 616-2100
Type: Mailing
4200, Douglas Street, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681312705
Phone: (402) 552-3222
Fax: (402) 552-2172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 122 Open Payments records for all available years, with a total value of $2,071.
Total Amount is formed as General ($2,071) + Research ($0) + Ownership ($0) = $2,071.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($456).
Total Amount
$2,071
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $456 |
| AstraZeneca Pharmaceuticals LP | $384 |
| Amgen Inc. | $284 |
| PFIZER INC. | $181 |
| Lilly USA, LLC | $134 |
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: 2021-07-13
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 |
|---|---|---|---|---|
| I20210713000483 | I | Family Practice | NE | 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 68410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Hospitalist, Internal Medicine | NE | |
| Family Practice | NE |
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