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Active NPI 1326137225 Individual Practitioner Male Practitioner

Samuel Mauricio Cordova , PA-C

Physician Assistant • Naperville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Cordova, PA-C is a certified Physician Assistant practicing in Naperville, IL. With approximately 23 years of clinical experience since completing medical education in 2003, Samuel Cordova delivers high-quality medical care to the local community at 1259 RICKERT DR STE 101.

Samuel Cordova is affiliated with Community Care Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1259 Rickert Dr Ste 101

Naperville, IL 605408904

Telephone 6303551300
Fax 6303553273
Associated Practice Facility / Clinic
🏢 Dupage Medical Group Ltd Facility NPI 1851888549

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Naperville, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +14.3 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
119 Specialists

Practicing in Naperville, IL (4958 Statewide)

Telehealth Adoption Rate
21.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cordova (23 Years) 23 Yrs
Naperville Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
361 130 $50.00 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
281 228 $192.00 $79.51
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
172 122 $376.33 $84.15
73630 X-ray of foot, minimum of 3 views
121 90 $139.66 $22.26
73560 X-ray of knee, 1-2 views
118 108 $124.00 $14.77
73565 X-ray of both knees while standing
110 105 $109.00 $16.17
73610 X-ray of ankle, minimum of 3 views
99 71 $132.32 $22.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
66 66 $212.00 $99.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
64 63 $271.00 $109.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
35 35 $302.00 $148.40
72170 X-ray of pelvis, 1-2 views
26 26 $164.00 $8.35
72110 X-ray of lower and sacral spine, minimum of 4 views
25 25 $219.00 $16.17
73502 X-ray of hip, 2-3 views
21 21 $141.00 $19.94
20610 Aspiration and/or injection of fluid from large joint
18 15 $326.00 $55.80
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
17 13 $1500.02 $683.39
73030 X-ray of shoulder, minimum of 2 views
17 14 $161.00 $19.34
73590 X-ray of lower leg, 2 views
17 16 $150.88 $18.45

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085002213

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License IL 85002213

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
085002213 (IL)
Commercial Insurance / Payer ID Railroad Medicare
970023229 (IL)

Hospital & Practice Group Affiliations

Community Care Network Inc

901 Macarthur Blvd, Munster, IN 463212901

Phone: 2198364563

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Ernest Lindell , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1003802810

Doctor of Medicine (M.D.)

Marek Myslinski , RSA, CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1023475605
Jannalynne Beilke-Skoug , PA-C

Physician Assistant - Surgical

NPI 1023626769

Physician Assistant (Certified)

Samantha Adamczyk , PA-C

Physician Assistant

NPI 1093016016

Physician Assistant (Certified)

Sondra Catalano , PA

Physician Assistant

NPI 1245951227

Physician Assistant

Dr. Matthew Bueche , MD

Orthopaedic Surgery

NPI 1376539163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2012

Registered at 1259 RICKERT DR STE 101, NAPERVILLE, IL 605408904 (Tel: 6303551300)

📍
Updated Business Mailing Address December 13, 2012

Registered at 4300 COMMERCE CT, SUITE 230, LISLE, IL 605323698 (Tel: 6309681881)

👤
Provider Name / Credentials Updated December 13, 2012

Recorded as SAMUEL CORDOVA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Physician Assistant (License #085002213 in IL)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326137225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: December 13, 2012
Sole Proprietor: No

Mailing Address

4300 Commerce Ct, Suite 230

Lisle, IL 605323698

Phone: 6309681881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.