Samantha Brooke Mackay-Forton
NPI 1497492128ActiveIndividual· Surgery· Park Ridge, IL
Surgery in Park Ridge, Illinois, licensed in IL, with an NPI issued in May 2022. Part D covered 25 prescriptions written in 2024, 100% of them generic. Davol Inc. was the largest of 3 companies reporting payments in 2025, $496.04 in all, mostly food and beverage.
Overview
| NPI | 1497492128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 14, 2022 |
| Last updated in NPPES | Jul 10, 2023 |
| Certified by provider | Jun 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 125.082838 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 25 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $108.99 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$496.04 · 6 payments from 3 companies
- 2024$202.50 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $265.63 | 2 |
| Ethicon US, LLC | $202.13 | 3 |
| Avita Medical Americas, LLC | $28.28 | 1 |
What the 2025 payments were for
- Food and Beverage$496.04 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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