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MS. SAMANTHA MARIE BOBURKA PA-C
NPI 1487939088
Physician Assistant in La Grange, IL

Active since October 14, 2011PECOS Enrolled
110 W CALENDAR AVE, LA GRANGE, IL 60525(708) 745-5277(708) 579-2408 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Ms. Samantha Marie Boburka Pa-c NPPES

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

MS. SAMANTHA MARIE BOBURKA PA-C (NPI 1487939088) is an individual physician assistant in La Grange, Illinois, licensed in Illinois (085004138) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487939088
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SAMANTHA MARIE BOBURKACredential: PA-C
Location Address110 W CALENDAR AVELa Grange, IL 60525-2325
Mailing Address23 W Calendar Ave Ste 207La Grange, IL 60525-6327 · (708) 745-5277 · Fax (708) 579-2408
Phone(708) 745-5277
Fax(708) 579-2408
Sole ProprietorNo
Enumeration DateOctober 14, 2011
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1487939088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085004138
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.
110 W CALENDAR AVE, La Grange, IL 60525
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Other Names 1

Former Name (1)Samantha Cullen Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Marie Boburka Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 2

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

KATHERINE FRANCES SABELLA RACINE APN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
110 W CALENDAR AVE
LA GRANGE, IL 60525
Cook County (708) 745-5277
LOLICHANDRA KADIYALA MD
Family Medicine
110 W CALENDAR AVE, L
LA GRANGE, IL 60525
Cook County (516) 353-7734

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 Boburka's NPI number?

The NPI number for Samantha Boburka is 1487939088. It was assigned to this individual provider in the NPPES registry on October 14, 2011. The provider is also known as Samantha Cullen Pa-C.

Where is Samantha Boburka located?

Samantha Boburka practices at 110 W Calendar Ave, La Grange, IL 60525. The listed phone number is (708) 745-5277.

What is Samantha Boburka's specialty?

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

Is Samantha Boburka enrolled in Medicare?

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

What insurance does Samantha Boburka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Samantha Boburka 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.

When was this NPI record last updated?

The NPPES record for Samantha Boburka was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.