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Active NPI 1356962120 Individual Practitioner Female Practitioner

Heather Samudovsky , PA-C

Physician Assistant • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Heather Samudovsky, PA-C is a certified Physician Assistant practicing in Springfield, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Heather Samudovsky delivers high-quality medical care to the local community at 800 E CARPENTER ST.

Heather Samudovsky is affiliated with Swansea Medical Group Ltd and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, hemoglobin a1c level, by device for home use. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Carpenter St

Springfield, IL 627694902

Telephone 2175446464
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.9 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samudovsky (6 Years) 6 Yrs
Springfield Specialty Average (11.9 Years) 11.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J0897 Injection, denosumab, 1 mg
3,770 39 $41.00 $23.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
275 180 $555.00 $104.31
83037 Hemoglobin a1c level, by device for home use
253 151 $82.00 $9.52
36415 Insertion of needle into vein for collection of blood sample
188 125 $6.00 $5.88
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
104 58 $118.00 $28.54
99213 Established patient office or other outpatient visit, typically 15 minutes
90 76 $382.00 $73.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
85 65 $779.00 $146.59
83036 Hemoglobin A1C level
81 78 $108.00 $9.52
82570 Creatinine level to test for kidney function or muscle injury
73 67 $89.00 $5.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
64 40 $50.00 $11.41
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
27 17 $68.00 $12.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $982.00 $180.97

Medical Specialties & State Licenses

CMS Verified: 2024-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-007904

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

NUCC Taxonomy Code: 363A00000X

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

Swansea Medical Group Ltd

13 Wolf Creek Dr, Swansea, IL 622262367

Phone: 6182334458

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kelsey Gee , OTR, L

Occupational Therapist

NPI 1013341635

Occupational Therapist Registered, L

Amy Weinhoeft , OTR

Occupational Therapist

NPI 1013357201

Occupational Therapist Registered

Stephanie Weitekamp

Nurse Anesthetist, Certified Registered

NPI 1013691708
Dr. Terence Wade , MD

Radiology - Diagnostic Radiology

NPI 1023290681

Doctor of Medicine (M.D.)

Susan Brinkoetter , CCC-SLP

Speech-Language Pathologist

NPI 1023292125

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1023461506

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 07, 2024

Registered at 800 E CARPENTER ST, SPRINGFIELD, IL 627694902 (Tel: 2175446464)

📍
Updated Business Mailing Address March 07, 2024

Registered at 111 OAKWOOD RD, EAST PEORIA, IL 616111853 (Tel: 3097404272)

👤
Provider Name / Credentials Updated March 07, 2024

Recorded as HEATHER SAMUDOVSKY, PA-C

📍
Updated Practice Location February 05, 2021

Registered at 350 W CARPENTER ST, SPRINGFIELD, IL 627024902 (Tel: 2175287541)

📍
Updated Business Mailing Address February 05, 2021

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

NPI Profile Active May 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2020

Registered at 300 W OAK ST, CARBONDALE, IL 629011400 (Tel: 6184538850)

📍
Updated Business Mailing Address May 02, 2020

Registered at 8013 HUNT RD, SPRINGFIELD, IL 627128646 (Tel: 6187805462)

👤
Provider Name / Credentials Updated May 02, 2020

Recorded as HEATHER SAMUDOVSKY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 02, 2020

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: 1356962120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2020
Last Update: March 07, 2024
Sole Proprietor: No

Mailing Address

111 Oakwood Rd

East Peoria, IL 616111853

Phone: 3097404272

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.