Samantha Gardeen
NPI 1255994984ActiveIndividual· Dermatology· St Louis Park, MN
Dermatology in St Louis Park, Minnesota, trained at University of Minnesota Medical School (class of 2019). 89 Medicare patients in 2024, $11,487 paid; nearly all of their 153 Part D prescriptions were generic (98%).
Overview
| NPI | 1255994984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 18, 2019 |
| Last updated in NPPES | Jul 21, 2023 |
| Certified by provider | Jul 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 74551 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 185 across 35 procedure codes |
| Paid by Medicare | $11,487 |
Part D prescriptions in 2024
| Prescriptions (claims) | 153 · 167 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $6,091 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Dermatology |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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