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SAMANTHA NICOLE LOTZ
NPI 1992408363
Pediatrics in Evansville, IN

Active since March 24, 2023PECOS Enrolled
516 COURT ST STE A, EVANSVILLE, IN 47708(812) 485-2121(812) 485-7576 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Mar 24, 2023 (2 updates tracked since 2023).

About Samantha Nicole Lotz NPPES

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

SAMANTHA NICOLE LOTZ (NPI 1992408363) is an individual pediatrics provider in Evansville, Indiana, licensed in Indiana (02009162A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Marian University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1992408363
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA NICOLE LOTZ
Location Address516 COURT ST STE AEvansville, IN 47708-1340
Mailing Address516 Court St Ste AEvansville, IN 47708-1340 · (812) 485-2121 · Fax (812) 485-7576
Phone(812) 485-2121
Fax(812) 485-7576
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 24, 2023
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1992408363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 02009162A
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.
516 COURT ST STE A, Evansville, IN 47708
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Other Names 1

Former Name (1)Samantha Nicole Peak

Secondary Practice Locations 2

Location 13801 Bellemeade Ave Ste 200EEvansville, IN 47714-0114 · Phone (812) 485-7240 · Fax (812) 485-7244
Location 2100 St Marys Epworth Xing Ste A100Newburgh, IN 47630-9497 · Phone (812) 485-7780 · Fax (812) 469-8330

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Nicole Lotz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587024203
PECOS Enrollment IDI20260724003976
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Lotz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Mary's Medical Group, LLC
3.8 mi
Family Medicine
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: St Marys Medical Group LLC
  • 288 clinicians in this Medicare group
NPI 1164852539 (812) 485-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47708 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 10

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

DR. JAMES MICHAUD DO
Family Medicine
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2121
REBECCA ELIZABETH MEDRANO MS,CCC-SLP
Speech-Language Pathologist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100
DR. PAIGE MADISON LUIGS DPT
Physical Therapist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100
MR. CURTIS BOUCHIE
Occupational Therapist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2800
CARMEN ALFORD
Physical Therapist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100
MALLORY BARNES CCC-SLP
Speech-Language Pathologist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100
JASMINE PATEL
Physical Therapist
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100
MS. KELSEY RENEE PENCE OTR
Occupational Therapist (Physical Rehabilitation)
516 COURT ST STE A
EVANSVILLE, IN 47708
Vanderburgh County (812) 485-2100

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 Lotz's NPI number?

The NPI number for Samantha Lotz is 1992408363. It was assigned to this individual provider in the NPPES registry on March 24, 2023. The provider is also known as Samantha Nicole Peak.

Where is Samantha Lotz located?

Samantha Lotz practices at 516 Court St Ste A, Evansville, IN 47708. The listed phone number is (812) 485-2121.

What is Samantha Lotz's specialty?

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

Is Samantha Lotz enrolled in Medicare?

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

Which organization bills Medicare for Samantha Lotz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Lotz reassigns Medicare benefits to St Mary's Medical Group, LLC (Evansville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Lotz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Lotz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Samantha Lotz 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 Lotz was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.