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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 MARIE LEASE DO
NPI 1336834662
Family Medicine in Blue Mounds, WI

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
10345 COUNTY ROAD ID, BLUE MOUNDS, WI 53517(608) 590-2973(888) 894-5058 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Nov 7, 2024, Jun 17, 2023 and 1 more (4 updates tracked since 2023).

About Samantha Marie Lease Do NPPES

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

SAMANTHA MARIE LEASE DO (NPI 1336834662) is an individual family medicine provider in Blue Mounds, Wisconsin, licensed in Wisconsin (81708-21) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336834662
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA MARIE LEASECredential: DO
Location Address10345 COUNTY ROAD IDBlue Mounds, WI 53517-9646
Mailing Address10345 County Road IdBlue Mounds, WI 53517-9646 · (608) 590-2973 · Fax (888) 894-5058
Phone(608) 590-2973
Fax(888) 894-5058
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1336834662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 81708-21
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 81708 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10345 COUNTY ROAD ID, Blue Mounds, WI 53517
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 W 8th StMonroe, WI 53566-1021 · Phone (608) 324-2000
Location 2515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000
Location 3100 N Nine Mound RdVerona, WI 53593-1032 · Phone (608) 845-9531 · Fax (608) 845-8684

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 Marie Lease Do 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 ID6204295629
PECOS Enrollment IDI20250326001615
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.

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53517 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

HOPE MEDICAL LLC
Family Medicine
10345 COUNTY ROAD ID
BLUE MOUNDS, WI 53517
Dane County (320) 309-9471

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 Lease's NPI number?

The NPI number for Samantha Lease is 1336834662. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Samantha Lease located?

Samantha Lease practices at 10345 County Road Id, Blue Mounds, WI 53517. The listed phone number is (608) 590-2973.

What is Samantha Lease's specialty?

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

Is Samantha Lease enrolled in Medicare?

Yes. Samantha Lease 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 Samantha Lease affiliated with any hospitals?

According to CMS data, Samantha Lease is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Samantha Lease was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.