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SAMANTHA YASUEDA
NPI 1104385426
Pathology - Anatomic Pathology & Clinical Pathology in Lebanon, OR

Active since March 16, 2019PECOS Enrolled
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Mar 16, 2019 (2 updates tracked since 2019).

About Samantha Yasueda NPPES

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

SAMANTHA YASUEDA (NPI 1104385426) is an individual anatomic pathology & clinical pathology provider in Lebanon, Oregon, licensed in California (23481) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104385426
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSAMANTHA YASUEDA
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983
Phone(541) 259-0235
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 16, 2019
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1104385426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · 23481
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
200 MULLINS DR, Lebanon, OR 97355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Yasueda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082174552
PECOS Enrollment IDI20260903001897
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Yasueda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Vincent Pathology Medical Group
762 mi
Cytopathology
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1689635773 (323) 913-4934

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97355 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 20

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

JALINA MUELLER
General Practice
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 908-4101
SAISWATHI PATEL
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
HEATHER CHRISTIANSON
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
HALEY E SANCHEZ
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JESSICA WALLACE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
KAYLA TRENTER
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
NGHIA LE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JOCELYN POWELL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 207-8321

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 Yasueda's NPI number?

The NPI number for Samantha Yasueda is 1104385426. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Samantha Yasueda located?

Samantha Yasueda practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Samantha Yasueda's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Samantha Yasueda enrolled in Medicare?

Yes. Samantha Yasueda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Yasueda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Yasueda reassigns Medicare benefits to St. Vincent Pathology Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Yasueda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Yasueda was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.