Samuel Benedict Maynard, APRN
NPI 1124671961ActiveIndividual· Nurse Practitioner, Family· New London, CT
Nurse Practitioner, Family (APRN) with Intermountain Medical Group Denver LLC, practicing in New London, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $102,057 for 1,144 claims, against $6,284 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2024, $131.21 in all, mostly food and beverage. Lists Saint Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1124671961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 22, 2019 |
| Last updated in NPPES | Jul 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 8305 | CT |
| Registered Nurse | 163W00000X | 162343 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 133 across 23 procedure codes |
| Paid by Medicare | $6,284 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,144 · 2,705 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $102,057 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Intermountain Medical Group Denver LLCBroomfield, CO · 568 clinicians
Hospital affiliation
- Saint Joseph HospitalDenver, CO
Industry payments (Open Payments)
- 2024$131.21 · 6 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $47.80 | 2 |
| Viiv Healthcare Company | $40.43 | 2 |
| Otsuka America Pharmaceutical, Inc. | $23.98 | 1 |
| Glaxosmithkline, LLC. | $19.00 | 1 |
What the 2024 payments were for
- Food and Beverage$131.21 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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