MR. SAMUEL J DOSTAL (PA C) – Surgical Physician Assistant, NPI 1922073634
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for MR. SAMUEL J DOSTAL (PA C)
6900, A Street, Eastridge, Lincoln, Lancaster County, Nebraska, 68510, United States
LINCOLN, NE 685104120
Phone: (402) 436-2000
Fax: (402) 434-2691
Mailing address matches the actual address.
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 $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Stryker Corporation ($34).
Total Amount
$161
General + Research + Ownership
Payments
8
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $34 |
| Lilly USA, LLC | $30 |
| DePuy Synthes Sales Inc. | $26 |
| Bioventus LLC | $22 |
| Janssen Biotech, Inc. | $20 |
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: 2005-10-12
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 |
|---|---|---|---|---|
| I20051012000465 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,133 | 96 | $0 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 496 | 12 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 281 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 134 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 76 | 74 | $0 |
Insurance plans in this area (ZIP 68510)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Orthopedic Surgery, Hand Surgery | NE | |
| Orthopedic Surgery | NE | |
| - | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Orthopedic Surgery | NE |
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