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Active NPI 1225411325 Individual Practitioner Female Practitioner

Samantha A Mooberry , PA-C

Physician Assistant • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Mooberry, PA-C is a certified Physician Assistant practicing in Peoria, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Samantha Mooberry delivers high-quality medical care to the local community at 530 NE GLEN OAK AVE.

Samantha Mooberry is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096248818
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mooberry (11 Years) 11 Yrs
Peoria Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
14 14 $525.00 $167.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-005497

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.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Practice Associates & Co-Workers

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

37 Associated Practitioners
Ryan Parnham , NP-C

Nurse Practitioner - Family

NPI 1003015447

Nurse Practitioner (Certified)

Dr. Adeel Jamil , MD

Internal Medicine

NPI 1033502554

Doctor of Medicine (M.D.)

NPI 1033840392

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Lagoski , DO

Family Medicine - Geriatric Medicine

NPI 1164479424

Doctor of Osteopathic Medicine (D.O.)

Bhuvaneswari Subramanian

Internal Medicine

NPI 1174712673
Jessica Mitchell , APRN, CNP

Nurse Practitioner - Acute Care

NPI 1174739205

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated February 26, 2019

Recorded as SAMANTHA MOOBERRY, PA-C

NPI Profile Active July 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2015

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096248818)

📍
Updated Business Mailing Address July 07, 2015

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096248818)

👤
Provider Name / Credentials Updated July 07, 2015

Recorded as SAMANTHA SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2015

Physician Assistant (License #085-005497 in IL)

🟢
Initial NPI Registration & Enumeration July 07, 2015

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: 1225411325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2015
Last Update: February 26, 2019
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096248818

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.