Samantha Bukolt, PA-C
NPI 1760144703ActiveIndividual· Physician Assistant· Minneapolis, MN
Physician Assistant (PA-C) in Minneapolis, Minnesota, with an NPI issued in October 2021. Their prescriptions cost Medicare Part D more than their services did: $5,635 for 118 claims, against $2,152 paid for services in 2024. Medical Device Business Services, Inc. reported $58.82 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1760144703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 7, 2021 |
| Last updated in NPPES | Dec 8, 2024 |
| Certified by provider | Dec 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | NY |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 43 across 8 procedure codes |
| Paid by Medicare | $2,152 |
Part D prescriptions in 2024
| Prescriptions (claims) | 118 · 125 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $5,635 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2024$58.82 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medical Device Business Services, Inc. | $58.82 | 1 |
What the 2024 payments were for
- Food and Beverage$58.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 509 physician assistants in Minneapolis · All physician assistants in Minnesota