Diane K. Samson, PA-C
NPI 1689627606ActiveIndividual· Physician Assistant· Bloomington, MN
Physician Assistant (PA-C) with Fairview Clinics, practicing in Bloomington, Minnesota. 239 Medicare patients in 2024, $18,331 paid; nearly all of their 448 Part D prescriptions were generic (97%).
Overview
| NPI | 1689627606 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Sep 29, 2022 |
| Certified by provider | Sep 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13040 | MN |
| Physician Assistant | 363A00000X | 085-001315 | IL |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 239 |
|---|---|
| Services billed | 506 across 46 procedure codes |
| Paid by Medicare | $18,331 |
Part D prescriptions in 2024
| Prescriptions (claims) | 448 · 458 30-day fills |
|---|---|
| Patients | 349 |
| Total drug cost | $4,994 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Fairview ClinicsEagan, MN · 782 clinicians
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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