Active NPI 1922073634 Individual Practitioner Male Practitioner

Samuel J Dostal , PA-C

Physician Assistant • West Point, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Dostal, PA-C is a certified Physician Assistant practicing in West Point, NE. With approximately 21 years of clinical experience since completing medical education in 2005, Samuel Dostal delivers high-quality medical care to the local community at 430 N MONITOR ST.

Samuel Dostal is affiliated with Nebraska Orthopaedic Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, hyaluronan or derivative, orthovisc, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 N Monitor St

West Point, NE 687881555

Telephone 4023722404

Associated Practice Facility / Clinic

🏢 Franciscan Care Services Inc Facility NPI 1043224975

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Point, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

7 Specialists

Practicing in West Point, NE (1366 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dostal (21 Years) 21 Yrs

West Point Specialty Average (21.0 Years) 21.0 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	1,256	113	$4.00	$0.97
20610 Aspiration and/or injection of fluid from large joint	208	130	$433.88	$58.37
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	106	33	$321.00	$122.20
27447 Replacement of knee joint, both sides of knee	82	78	$4537.00	$160.96
99213 Established patient office or other outpatient visit, typically 15 minutes	76	67	$214.00	$74.34
27130 Replacement of thigh bone and hip joint with prosthesis	61	59	$4302.70	$161.47
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$214.00	$53.62
73562 X-ray of knee, 3 views	41	34	$151.00	$32.49
20610 Aspiration and/or injection of fluid from large joint	34	25	$397.65	$39.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$305.00	$104.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$134.00	$46.03
73502 X-ray of hip, 2-3 views	28	28	$139.68	$36.91
73030 X-ray of shoulder, minimum of 2 views	25	25	$126.00	$27.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$397.50	$107.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$262.00	$89.94
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$4404.00	$180.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$262.00	$65.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,133	96	$4.00	$1.07
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	496	12	$26.00	$9.46
20610 Aspiration and/or injection of fluid from large joint	190	121	$428.73	$55.02
20610 Aspiration and/or injection of fluid from large joint	91	61	$401.14	$36.92
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$214.00	$51.13
27447 Replacement of knee joint, both sides of knee	76	74	$4584.76	$153.56
99213 Established patient office or other outpatient visit, typically 15 minutes	75	70	$214.00	$70.20
27130 Replacement of thigh bone and hip joint with prosthesis	59	57	$4247.00	$155.24
73562 X-ray of knee, 3 views	46	40	$151.00	$31.28
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	46	19	$321.00	$131.70
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	32	12	$321.00	$127.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$305.00	$100.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$262.00	$63.45
73502 X-ray of hip, 2-3 views	26	25	$139.42	$35.05
73030 X-ray of shoulder, minimum of 2 views	21	18	$122.10	$25.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$305.00	$76.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$262.00	$87.57
23412 Repair of chronic torn shoulder rotator cuff	14	13	$2511.00	$104.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$394.00	$104.23
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1848.00	$36.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$134.00	$44.11
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$4404.00	$175.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	872	75	$4.00	$1.14
20610 Aspiration and/or injection of fluid from large joint	159	100	$408.15	$53.20
99213 Established patient office or other outpatient visit, typically 15 minutes	120	99	$214.00	$71.02
99213 Established patient office or other outpatient visit, typically 15 minutes	98	78	$214.00	$52.99
20610 Aspiration and/or injection of fluid from large joint	83	51	$439.81	$39.17
27447 Replacement of knee joint, both sides of knee	83	80	$4537.00	$156.50
27130 Replacement of thigh bone and hip joint with prosthesis	61	61	$4247.00	$156.64
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	44	17	$321.00	$130.25
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	40	17	$321.00	$141.88
73562 X-ray of knee, 3 views	34	28	$148.12	$31.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$262.00	$65.30
73502 X-ray of hip, 2-3 views	22	21	$138.77	$35.60
23412 Repair of chronic torn shoulder rotator cuff	22	22	$2511.00	$104.77
29823 Removal of extensive shoulder joint tissue using an endoscope	20	20	$1848.00	$36.58
73030 X-ray of shoulder, minimum of 2 views	19	18	$126.00	$25.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$262.00	$87.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$166.00	$56.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$305.00	$78.47
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$4404.00	$176.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	23	$4.00	$1.16
20610 Aspiration and/or injection of fluid from large joint	111	77	$398.90	$53.44
J1030 Injection, methylprednisolone acetate, 40 mg	101	38	$12.00	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	99	73	$206.24	$54.07
99213 Established patient office or other outpatient visit, typically 15 minutes	96	84	$203.50	$71.65
20610 Aspiration and/or injection of fluid from large joint	81	51	$442.32	$40.49
27447 Replacement of knee joint, both sides of knee	64	63	$4537.00	$159.26
27130 Replacement of thigh bone and hip joint with prosthesis	61	61	$4316.62	$158.30
73562 X-ray of knee, 3 views	38	33	$148.42	$30.35
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	35	17	$321.00	$140.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$259.19	$66.55
73502 X-ray of hip, 2-3 views	26	25	$125.12	$31.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$258.09	$89.17
73030 X-ray of shoulder, minimum of 2 views	20	17	$113.70	$23.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$292.37	$103.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$281.67	$80.00
23412 Repair of chronic torn shoulder rotator cuff	16	16	$2511.00	$106.21
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$1848.00	$37.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	154	50	$12.00	$6.03
20610 Aspiration and/or injection of fluid from large joint	111	63	$347.14	$44.59
99213 Established patient office or other outpatient visit, typically 15 minutes	97	72	$166.00	$41.58
99213 Established patient office or other outpatient visit, typically 15 minutes	79	75	$166.00	$59.99
20610 Aspiration and/or injection of fluid from large joint	76	34	$342.45	$33.34
27447 Replacement of knee joint, both sides of knee	50	48	$4537.00	$171.40
27130 Replacement of thigh bone and hip joint with prosthesis	48	46	$4247.00	$171.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$247.00	$61.02
73562 X-ray of knee, 3 views	28	23	$151.00	$30.79
23412 Repair of chronic torn shoulder rotator cuff	19	19	$2511.00	$107.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$247.00	$85.70
29823 Removal of extensive shoulder joint tissue using an endoscope	17	17	$1848.00	$39.72
73502 X-ray of hip, 2-3 views	13	13	$135.85	$33.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	238	73	$12.00	$6.21
20610 Aspiration and/or injection of fluid from large joint	197	94	$338.00	$41.92
20610 Aspiration and/or injection of fluid from large joint	167	66	$338.00	$32.09
99213 Established patient office or other outpatient visit, typically 15 minutes	166	115	$166.00	$40.84
99213 Established patient office or other outpatient visit, typically 15 minutes	147	118	$166.00	$58.41
27447 Replacement of knee joint, both sides of knee	72	70	$4537.00	$169.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$247.00	$59.34
73562 X-ray of knee, 3 views	53	43	$151.00	$28.59
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	45	18	$321.00	$220.45
27130 Replacement of thigh bone and hip joint with prosthesis	45	44	$4247.00	$167.67
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	33	16	$330.73	$141.76
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$231.00	$80.46
23412 Repair of chronic torn shoulder rotator cuff	19	19	$2511.00	$106.47
73502 X-ray of hip, 2-3 views	19	19	$128.32	$29.69
73030 X-ray of shoulder, minimum of 2 views	19	15	$126.00	$23.51
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$1848.00	$38.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$247.00	$85.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$164.00	$55.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	228	82	$12.00	$6.62
20610 Aspiration and/or injection of fluid from large joint	202	102	$338.00	$40.39
99213 Established patient office or other outpatient visit, typically 15 minutes	131	99	$166.00	$40.63
20610 Aspiration and/or injection of fluid from large joint	124	57	$340.73	$33.09
99213 Established patient office or other outpatient visit, typically 15 minutes	119	104	$166.00	$57.63
27447 Replacement of knee joint, both sides of knee	80	74	$4593.71	$167.30
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	76	27	$321.00	$140.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$247.00	$60.66
73562 X-ray of knee, 3 views	56	42	$151.00	$27.43
27130 Replacement of thigh bone and hip joint with prosthesis	49	46	$4247.00	$169.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$245.00	$83.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$247.00	$84.78
73502 X-ray of hip, 2-3 views	27	26	$122.33	$27.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$100.00	$19.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$245.00	$63.11
23412 Repair of chronic torn shoulder rotator cuff	17	17	$2511.00	$102.45
73030 X-ray of shoulder, minimum of 2 views	15	14	$117.60	$21.53
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$1848.00	$37.37
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$231.00	$80.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	164	52	$12.00	$5.75
99213 Established patient office or other outpatient visit, typically 15 minutes	110	83	$166.00	$40.02
20610 Aspiration and/or injection of fluid from large joint	102	65	$338.00	$43.84
99213 Established patient office or other outpatient visit, typically 15 minutes	93	76	$166.00	$57.07
20610 Aspiration and/or injection of fluid from large joint	75	42	$338.00	$31.93
27447 Replacement of knee joint, both sides of knee	69	67	$4537.00	$168.83
27130 Replacement of thigh bone and hip joint with prosthesis	44	41	$4247.00	$168.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$247.00	$60.56
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	33	18	$321.00	$146.39
73562 X-ray of knee, 3 views	32	30	$146.28	$26.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$100.00	$20.27
73502 X-ray of hip, 2-3 views	20	18	$126.55	$28.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$247.00	$84.75
23412 Repair of chronic torn shoulder rotator cuff	19	19	$2511.00	$105.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	17	$159.18	$57.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$100.00	$31.91
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$231.00	$80.31
27245 Treatment of broken neck of thigh bone with bone implant	13	12	$3638.00	$153.02
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1848.00	$40.30
29822 Removal of shoulder joint tissue using an endoscope	12	12	$1692.00	$31.63

Medical Specialties & State Licenses

CMS Verified: 2026-06-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 1217

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 NE 1217

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NE 1217

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Midlands Choice

247112 (NE)

Commercial Insurance / Payer ID Tri Care

91177983268510A019 (NE)

Hospital & Practice Group Affiliations

Nebraska Orthopaedic Center Pc

103 S 9th St, Beatrice, NE 683104002

Phone: 4022285969

Nebraska Orthopaedic Center Pc

575 S 70th St, Lincoln, NE 685102471

Phone: 4024362000

Nebraska Orthopaedic Center Pc

555 S 70th St, Lincoln, NE 685102462

Phone: 4022197700

Nebraska Orthopaedic Center Pc

2300 S 16th St, Lincoln, NE 685023704

Phone: 4024751011

Nebraska Orthopaedic Center Pc

6900 A St, Lincoln, NE 685104120

Secondary Practice Locations

6900 A St, Ste 100

Lincoln, NE 685104120

Phone: 4024362000

Practice Associates & Co-Workers

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

7 Associated Practitioners

Phyllis Heimann , RN CDE

Registered Nurse - Continuing Education/Staff Development

NPI 1093801243

RNCDE

Kristine Jahnke , PA-C

Physician Assistant

NPI 1124142443

Physician Assistant (Certified)

Stacie Petersen , RN, CDE

Registered Nurse - Case Management

NPI 1265835391

Registered Nurse, Certified Diabetes Educator

Michelle Green , RD

Dietitian, Registered

NPI 1588134753

Registered Dietitian

Mary Clare Stalp , RD, LMNT

Nutritionist

NPI 1609962851

Registered Dietitian, LMNT

Emily Garrity

Physician Assistant

NPI 1780369181

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location June 04, 2026

Registered at 430 N MONITOR ST, WEST POINT, NE 687881555 (Tel: 4023722404)

📍

Updated Business Mailing Address June 04, 2026

Registered at 430 N MONITOR ST, WEST POINT, NE 687881555 (Tel: 4023726717)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2026

Physician Assistant (License #1217 in NE)

✅

NPI Profile Active September 04, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 04, 2017

Registered at 6900 A ST, LINCOLN, NE 685104120 (Tel: 4024362000)

📍

Updated Practice Location September 04, 2017

Registered at 6900 A ST, STE 100, LINCOLN, NE 685104120 (Tel: 4024362000)

👤

Provider Name / Credentials Updated September 04, 2017

Recorded as SAMUEL DOSTAL, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2017

Physician Assistant (License #1217 in NE)

✅

NPI Profile Active June 02, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2008

Registered at 6900 A ST, STE 100, LINCOLN, NE 685104120 (Tel: 4024362000)

📍

Updated Business Mailing Address June 02, 2008

Registered at PO BOX 6939, LINCOLN, NE 685060939 (Tel: 4024362000)

👤

Provider Name / Credentials Updated June 02, 2008

Recorded as SAMUEL DOSTAL, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Physician Assistant (License #1217 in NE)

🟢

Initial NPI Registration & Enumeration February 17, 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: 1922073634

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: June 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

430 N Monitor St

West Point, NE 687881555

Phone: 4023726717

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.