Samantha Madison Gustafson, PAC
NPI 1376262246ActiveIndividual· Physician Assistant, Medical· Newport, WA
Physician Assistant, Medical (PAC) in Newport, Washington, trained at University of Washington School of Medicine (class of 2023). Part D covered 1,166 prescriptions written in 2024, 92% of them generic. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $63.99 in all, mostly food and beverage.
Overview
| NPI | 1376262246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Aug 24, 2022 |
| Last updated in NPPES | Jun 10, 2024 |
| Certified by provider | Jun 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA61488948 | WA |
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 (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,166 · 1,900 30-day fills |
|---|---|
| Patients | 358 |
| Total drug cost | $68,878 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- Pend Oreille County Public Hospital District No 1Newport, WA · 31 clinicians
Hospital affiliations
- Bonner General HospitalSandpoint, ID
- Kootenai HealthCoeur D'Alene, ID
- Newport Community HospitalNewport, WA
Industry payments (Open Payments)
- 2025$63.99 · 3 payments from 3 companies
- 2024$14.21 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $26.62 | 1 |
| Coopersurgical, Inc. | $20.45 | 1 |
| Lilly USA, LLC | $16.92 | 1 |
What the 2025 payments were for
- Food and Beverage$63.99 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Newport
- 1679291371
- 1932394772
- 1265718852
- 1205709441
- 1033889829
- 1487561478
- 1851060149
- 1568659910
- 1437570280