Samuel J. Vaagen, PA-C
NPI 1164603783ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (PA-C) with Sanford Medical Center Fargo, practicing in Fargo, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $69,626 for 1,347 claims, against $1,748 paid for services in 2024. Hologic Sales and Service, LLC reported $21.06 in payments in 2025, mostly food and beverage. Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1164603783 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 26, 2007 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC0567 | ND |
| Physician Assistant, Medical | 363AM0700X | PAC0567 | ND |
| Physician Assistant, Surgical | 363AS0400X | 10359 | MN |
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 - Physician Assistant (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 46 across 5 procedure codes |
| Paid by Medicare | $1,748 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,347 · 2,837 30-day fills |
|---|---|
| Patients | 492 |
| Total drug cost | $69,626 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
Industry payments (Open Payments)
- 2025$21.06 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $21.06 | 1 |
What the 2025 payments were for
- Food and Beverage$21.06 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Fargo
- 1003837220
- 1003913898
- 1033593025
- 1033665310
- 1073091757
- 1083475446
- 1114660628
- 1144842089
- 1154809267
- 1194778068
- 1205512688
- 1215480009
All 175 physician assistants in Fargo · All physician assistants in North Dakota