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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA CONSIDINE PEZON MD
NPI 1114620721
Pediatrics in Eden Prairie, MN

Active since March 23, 2023PECOS Enrolled
11095 VIKING DR STE 250, EDEN PRAIRIE, MN 55344(952) 278-7000 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jul 20, 2026, Jul 17, 2026 and 3 more (6 updates tracked since 2023).

About Samantha Considine Pezon Md NPPES

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

SAMANTHA CONSIDINE PEZON MD (NPI 1114620721) is an individual pediatrics provider in Eden Prairie, Minnesota, licensed in Minnesota (81795) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114620721
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA CONSIDINE PEZONCredential: MD
Location Address11095 VIKING DR STE 250Eden Prairie, MN 55344-7229
Mailing Address6600 France Ave S Ste 300Edina, MN 55435-1803 · (952) 278-7000 · Fax (952) 831-2388
Phone(952) 278-7000
Sole ProprietorYes
Enumeration DateMarch 23, 2023
Last NPPES UpdateSeptember 25, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1114620721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 81795
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11095 VIKING DR STE 250, Eden Prairie, MN 55344
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Secondary Practice Locations 2

Location 16600 France Ave S Ste 315Edina, MN 55435-1803 · Phone (952) 278-7000
Location 2501 E Nicollet Blvd Ste 200Burnsville, MN 55337-6785 · Phone (952) 278-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 3

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

DR. LEAH D KHAN M.D.
Pediatrics
11095 VIKING DR STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 278-7000
NATHAN MICHAEL LUSCRI MD
Pediatrics
11095 VIKING DR STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 278-7000
CHRISTA LANGER M.D.
Pediatrics
11095 VIKING DR STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 278-7000

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 Pezon's NPI number?

The NPI number for Samantha Pezon is 1114620721. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Samantha Pezon located?

Samantha Pezon practices at 11095 Viking Dr Ste 250, Eden Prairie, MN 55344. The listed phone number is (952) 278-7000.

What is Samantha Pezon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Pezon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Pezon was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.