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SAMANTHA DAWN WARDEN MD
NPI 1013531805
Family Medicine in O Fallon, MO

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368(636) 344-2400(636) 344-2401 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Jun 8, 2020 (2 updates tracked since 2020).

About Samantha Dawn Warden Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA DAWN WARDEN MD (NPI 1013531805) is an individual family medicine provider in O Fallon, Missouri, licensed in Missouri (2023026712) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1013531805
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA DAWN WARDENCredential: MD
Location Address20 PROGRESS POINT PKWY STE 108O Fallon, MO 63368-2207
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 344-2400 · Fax (636) 344-2401
Phone(636) 344-2400
Fax(636) 344-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 8, 2020
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1013531805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2023026712
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20 PROGRESS POINT PKWY STE 108, O Fallon, MO 63368
Open in Google Maps ↗

Secondary Practice Location 1

Location 1515 Maple Valley DrFarmington, MO 63640-1919 · Phone (573) 760-7920 · Fax (573) 756-9597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Dawn Warden Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446673040
PECOS Enrollment IDI20230731002782
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
20 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Progress West Hospital

Acute Care Hospitals · O Fallon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260219
Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.03
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$205.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN A GRUS MD
Internal Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
GLORIA MICHELLE PAUL EDACHERIL NP
Nurse Practitioner (Family)
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
MRS. LAURA L HILL ANP
Nurse Practitioner (Adult Health)
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
DR. EMILY REBECCA HUTCHINSON DO
Family Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
KRISTA E JENKINS PA
Physician Assistant
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 577-1493
DANIEL MARTIN WEISEL MD
Family Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
KIMBERLY BONVILLAIN FNP-C
Nurse Practitioner
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
AARON ROBERT STEIMEL DO
Internal Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Warden's NPI number?

The NPI number for Samantha Warden is 1013531805. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Samantha Warden located?

Samantha Warden practices at 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368. The listed phone number is (636) 344-2400.

What is Samantha Warden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Warden enrolled in Medicare?

Yes. Samantha Warden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Warden accept?

Health plans from UnitedHealthcare list Samantha Warden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Warden affiliated with any hospitals?

According to CMS data, Samantha Warden is affiliated with Mercy Hospital Jefferson, Missouri Baptist Medical Center, Parkland Health Center, Saint Francis Medical Center and Progress West Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Warden was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.