Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Samuel Johnson

Physician Assistant โ€ข Stillwater, MN

Active NPI 1558740803 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 Curve Crest Blvd W
Stillwater, MN 550826040

Call 6514391234 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

1500 Curve Crest Blvd W

Stillwater, MN 550826040

Telephone 6514391234
Organization at the Same NPPES Address or Phone
Stillwater Medical Group Facility NPI 1558350488

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

NPPES lists 8 distinct additional practice-address records in Amery, WI; Apple Valley, MN; Arden Hills, MN and 4 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Amery Regional Medical Center Inc; Group Health Plan Inc. 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

2015

Medicare patients

279 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $24,794 in 2024

The total amount Medicare approved for these services in 2024. 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, 2024.

Paid by Medicare

About $15,713 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.

30-day fills

309 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

$1,561 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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 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

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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)

Samuel Johnson 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 Samuel Johnson 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 Stillwater and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Stillwater, MN (2024, 30 clinicians with data). Median for this group: 369. Middle half: 140 to 1,097.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Stillwater, MN (2024, 30 clinicians with data). Median for this group: $21,124. Middle half: $10,001 to $99,229.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Stillwater, MN (2024, 30 clinicians with data). Median for this group: $13,862. Middle half: $7,026 to $73,864.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Stillwater, MN (2024, 34 clinicians with data). Median for this group: 443. Middle half: 121 to 9,138.

Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Stillwater, MN (2024, 34 clinicians with data). Median for this group: $10,533. Middle half: $976 to $430,036.

Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.

49 active clinicians are listed under Physician Assistant with a practice address in Stillwater, MN (4,007 in Minnesota).

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

Telehealth indicator in Stillwater

22.4% of these 49 clinicians have the CMS telehealth indicator.

73.5% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 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, 2017โ€“2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
191 177 $287.30 $74.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 66 $406.30 $103.68
71046 X-ray of chest, 2 views
46 46 $127.00 $28.13
36415 Insertion of needle into vein for collection of blood sample
29 29 $21.50 $8.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $357.00 $90.69
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
18 18 $25.50 $6.09

Source: CMS Part B by Provider and Service, 2024; 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
Cephalexin Cephalexin 70 488 $340.06 68
Prednisone Prednisone 49 277 $95.64 48
Doxycycline Hyclate Doxycycline Hyclate 49 368 $249.84 46
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 30 204 $210.16 29
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 28 197 $91.68 27
Azithromycin Azithromycin 23 115 $71.47 22
Fluticasone Propionate Fluticasone Propionate 21 690 $144.59 15
Methocarbamol Methocarbamol 13 120 $82.17 13
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 11 80 $180.17 11
Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim 11 309 $95.39 11

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: 2023-08-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 2266

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

License # reported to NPPES WI 7270

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: Minnesota Board of Medical Practice.
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

I20231006001173

Enrollment State Jurisdiction

WI

PECOS Control ID

0143541078

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

Group Health Plan Inc

411 Stageline Rd, Hudson, WI 540167848

Phone: 7155316700

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

744 E Louisiana St, Saint Croix Falls, WI 540249501

Phone: 8665446741

Amery Regional Medical Center Inc

265 Griffin E St, Amery, WI 540011439

Phone: 7152688000

Group Health Plan Inc

405 Stageline Rd, Hudson, WI 540167848

Phone: 6512651999

Group Health Plan Inc

403 Stageline Rd, Hudson, WI 540167848

Phone: 7155316700

Group Health Plan Inc

2500 Como Ave, Saint Paul, MN 551081460

Phone: 6516410020

Group Health Plan Inc

1500 Curve Crest W Blvd, Stillwater, MN 550826040

Phone: 6514391234

Amery Regional Medical Center Inc

265 Griffin St E, Amery, WI 540011439

Phone: 7152688000

Secondary Practice Locations

535 Hospital Rd

New Richmond, WI 540171449

Phone: 7152432600

8450 Seasons Pkwy

Woodbury, MN 551254402

Phone: 9528538800

205 Wabasha St S

Saint Paul, MN 551071805

Phone: 9528538800

2500 Como Ave

Saint Paul, MN 551081460

Phone: 9528538800

3930 Northwoods Dr

Arden Hills, MN 551126963

Phone: 9528538800

15290 Pennock Ln

Apple Valley, MN 551247163

Phone: 9528538800

2901 Metro Drive, Suite 527

Bloomington, MN 55122

Phone: 9528835881

265 Griffin St E

Amery, WI 540011439

Phone: 7152688000

Clinicians Sharing This Practice Address or Phone

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

40 listed
Jessica Acker , FNP-C

Nurse Practitioner

NPI 1124794425

Family Nurse Practitioner (Certified)

Dr. Beth Adams , MD

Family Medicine

NPI 1609852102

Doctor of Medicine (M.D.)

Dr. Michael Adams , MD

Family Medicine

NPI 1629054481

Doctor of Medicine (M.D.)

NPI 1588962161

Doctor of Audiology

NPI 1194728568

Registered Nurse, Adult Nurse Practitioner, AOCN

NPI 1235234113

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
๐Ÿ“
Updated Practice Location August 17, 2023

Registered at 1500 CURVE CREST BLVD W, STILLWATER, MN 550826040 (Tel: 6514391234)

โœ…
NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 20, 2015

Registered at 2901 METRO DRIVE, SUITE 527, BLOOMINGTON, MN 55122 (Tel: 9528835881)

๐Ÿ“
Business Mailing Address (Initial Record) May 20, 2015

Registered at N2497 STATE ROAD 58, MAUSTON, WI 53948 (Tel: 6782003731)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 20, 2015

Recorded as SAMUEL JOHNSON

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Physician Assistant (license number reported to NPPES: MN 2266)

๐ŸŸข
Initial NPI Registration & Enumeration May 20, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558740803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2015
Last Update: August 17, 2023
Sole Proprietor: No

Other Physician Assistants in Stillwater

All Physician Assistants in Stillwater

Mailing Address

N2497 State Road 58

Mauston, WI 53948

Phone: 6782003731

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.