Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Heather Samudovsky , PA-C

Physician Assistant โ€ข Springfield, IL

Active NPI 1356962120 Individual Practitioner Female Practitioner
Practice location in NPPES

800 E Carpenter St
Springfield, IL 627694902

Call 2175446464 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

800 E Carpenter St

Springfield, IL 627694902

Telephone 2175446464
Organization at the Same NPPES Address or Phone
Central Illinois Emergency Physicians, Llp Facility NPI 1740205699

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Swansea Medical Group Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare-allowed amount

About $146,694 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $112,062 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

2,720 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$421,689 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $103.31 across 2 records.

By nature of payment

  • Food and Beverage: $103.31 across 2 records.

Reporting-company totals

  • ABBVIE INC.: $103.31 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Heather Samudovsky has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Heather Samudovsky as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Springfield, IL (2024, 75 clinicians with data). Median for this group: 493. Middle half: 144 to 1,269.

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Springfield, IL (2024, 75 clinicians with data). Median for this group: $7,395. Middle half: $1,054 to $156,853.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Heather Samudovsky are from 2023.

103 active clinicians are listed under Physician Assistant with a practice address in Springfield, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

10.7% of these 103 clinicians have the CMS telehealth indicator.

76.7% of these 103 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $103.31.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $81.37
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $21.94

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
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 of drug or substance under skin or into muscle
64 40 $50.00 $11.41
99406 Smoking and tobacco use intensive counseling, 4-10 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

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 120 7,154 $745.82 57
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 113 8,233 $20,352.03 49
Metformin Hcl Metformin Hcl 84 5,992 $482.85 39
Jardiance Empagliflozin 64 3,312 $62,855.51 24
Metformin Hcl Er Metformin Hcl 62 4,380 $931.43 24
Ultra-Fine Mini Pen Needle Pen Needle, Diabetic 58 4,258 $6,310.45 34
Novolog Flexpen Insulin Aspart 56 3,380 $17,822.14 29
Farxiga Dapagliflozin Propanediol 54 2,490 $46,875.44 13
Ozempic Semaglutide 49 2,330 $77,753.11 15
Atorvastatin Calcium Atorvastatin Calcium 46 3,476 $325.36 19
Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog 46 2,580 $20,347.79 19
Glipizide Glipizide 45 3,510 $470.48 19
Glipizide Er Glipizide 43 3,329 $730.03 21
Methimazole Methimazole 36 1,502 $134.69 โ€”
Humalog Kwikpen U-100 Insulin Lispro 36 1,706 $14,257.81 18
Alendronate Sodium Alendronate Sodium 32 2,778 $248.37 17
Novolog Insulin Aspart 27 960 $7,258.07 โ€”
Humalog Insulin Lispro 26 664 $2,833.59 โ€”
Ultra-Fine Short Pen Needle Pen Needle, Diabetic 24 1,625 $3,610.34 15
Nano 2nd Gen Pen Needle Pen Needle, Diabetic 23 1,430 $2,881.31 โ€”
Victoza 3-Pak Liraglutide 22 1,575 $37,605.79 14
Lisinopril Lisinopril 20 1,740 $101.30 12
Trueplus Pen Needle Pen Needle, Diabetic 20 784 $919.97 โ€”
Insulin Lispro Kwikpen U-100 Insulin Lispro 20 1,043 $5,568.72 โ€”
Vascepa Icosapent Ethyl 19 808 $9,538.00 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210203001349

Enrollment State Jurisdiction

IL

PECOS Control ID

0648684647

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Swansea Medical Group Ltd

13 Wolf Creek Dr, Swansea, IL 622262367

Phone: 6182334458

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
NPI 1023461506

Doctor of Medicine (M.D.)

Dr. Omer Aker , MD

Radiology - Diagnostic Radiology

NPI 1205821543

Doctor of Medicine (M.D.)

Dr. Joseph Basler , MD

Radiology - Diagnostic Radiology

NPI 1063525160

Doctor of Medicine (M.D.)

Molly Belville , CRNA

Nurse Anesthetist, Certified Registered

NPI 1235677352

Certified Registered Nurse Anesthetist

NPI 1144606583

Doctor of Medicine (M.D.)

Jayson Coble , PA-C

Physician Assistant

NPI 1124014865

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location March 07, 2024

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

๐Ÿ“
Updated Business Mailing Address March 07, 2024

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

๐Ÿ‘ค
Provider Name / Credentials Updated March 07, 2024

Recorded as HEATHER SAMUDOVSKY, PA-C

๐Ÿ“
Updated Practice Location February 05, 2021

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

๐Ÿ“
Updated Business Mailing Address February 05, 2021

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

โœ…
NPI Profile Active May 02, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 02, 2020

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

๐Ÿ“
Business Mailing Address (Initial Record) May 02, 2020

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 02, 2020

Recorded as HEATHER SAMUDOVSKY

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration May 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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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

Other Physician Assistants in Springfield

All Physician Assistants in Springfield

Mailing Address

111 Oakwood Rd

East Peoria, IL 616111853

Phone: 3097404272

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.