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SAMUEL SUSKO
NPI 1235923145
Physician Assistant in Springfield, IL

Active since April 07, 2025PECOS EnrolledAccepts Medicare Assignment
701 N 1ST ST, SPRINGFIELD, IL 62781(217) 788-3156 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Samuel Susko NPPES

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

SAMUEL SUSKO (NPI 1235923145) is an individual physician assistant in Springfield, Illinois and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235923145
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL SUSKO
Location Address701 N 1ST STSpringfield, IL 62781-0001
Mailing Address701 N 1st StSpringfield, IL 62781-0001 · (217) 788-3156
Phone(217) 788-3156
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2025
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1235923145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 N 1ST ST, Springfield, IL 62781
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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

Samuel Susko 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 ID8123531001
PECOS Enrollment IDI20250702003859
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.

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

DR. LUCAS B STOLLER PHARMD
Pharmacist (Critical Care)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 588-6402
DR. REBECCA NICHOLE MAHON PHD. DABR
Radiology (Radiological Physics)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
CAROL A GORDEN CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
MEMORIAL HOME SERVICES
Hospice Care, Community Based
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-4663
DR. SWAPNA NEKKANTI M.D
Hospitalist
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 528-7541
ANN R LARSON CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
KELSEY A WALLACE CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
MEMORIAL MEDICAL CENTER
Clinic/Center (Multi-Specialty)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000

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 Samuel Susko's NPI number?

The NPI number for Samuel Susko is 1235923145. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Samuel Susko located?

Samuel Susko practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 788-3156.

What is Samuel Susko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Susko enrolled in Medicare?

Yes. Samuel Susko 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.

Is Samuel Susko affiliated with any hospitals?

According to CMS data, Samuel Susko is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Susko was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.