SAMANTHA JOANNE PESZKO NP
NPI 1922690577
Nurse Practitioner - Family in Royal Oak, MI

Q: What is Samantha Peszko's NPI number?

The NPI number for Samantha Peszko is 1922690577. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Q: What is Samantha Peszko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Peszko was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment

80.99/100

CMS Quality Rating

3601 W 13 MILE RD STE EC, ROYAL OAK, MI 48073(248) 898-5058(248) 898-2017 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2025, Jul 29, 2022, Jan 24, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Samantha Joanne Peszko Np NPPES

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

SAMANTHA JOANNE PESZKO NP (NPI 1922690577) is an individual family provider in Royal Oak, Michigan, licensed in Michigan (4704320253) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Michigan Medical School (2021).

NPPES Registry Identity

NPI1922690577

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA JOANNE PESZKOCredential: NP

Location Address3601 W 13 MILE RD STE ECRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1865 · Fax (947) 522-0307

Phone(248) 898-5058

Fax(248) 898-2017

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2021

Enumeration DateFebruary 5, 2021

Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1922690577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704320253

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704320253 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3601 W 13 MILE RD STE EC, Royal Oak, MI 48073

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1210 N Lafayette StSouth Lyon, MI 48178-2048 · Phone (248) 437-1744 · Fax (248) 437-3245

Location 25756 S Weed RdPlymouth, MI 48170-5816 · Phone (313) 657-1938

Location 34949 Coolidge Hwy # GRoyal Oak, MI 48073-1026 · Phone (248) 655-3147 · Fax (248) 655-3148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Joanne Peszko Np 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 ID6103224605

PECOS Enrollment IDI20211014000836

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

61 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

22 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

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. DANIELLE TURNER-LAWRENCE M.D.

Emergency Medicine