Samuel J Dostal, PA C
Individual provider Active NPI Physician Assistant · West Point, NE
NPI 1922073634 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1922073634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1217 (NE)
- Practice address
- 430 N Monitor St
West Point, NE 68788-1555 - Phone
- (402) 372-2404
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nebraska Orthopaedic Center PC
Franciscan Care Services Inc
Practice addresses (Care Compare)
103 S 9TH St
Nebraska Orthopaedic Center
Beatrice, NE 68310-4002
Phone (402) 228-5969
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 475-1011
430 N Monitor St
Franciscan Healthcare
West Point, NE 68788-1595
Phone (402) 372-2404
555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700
575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000
6900 A St
Lincoln, NE 68510-4120
Hospital & facility affiliations
- York General Health Care Services
- Lincoln Surgical Hospital
- Beatrice Community Hospital & Health Center, Inc
- Bryan Medical Center
- St Francis Memorial Hospital
- Madonna Rehabilitation Hospital Lincoln
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.8 of 100
- Quality
- 89.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000465 | NE | Practitioner - Physician Assistant | 6901821529 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Orthopaedic Center PC | Medical | Current |
Accepting new patients |
Locations
103 S 9th St
Beatrice, NE 68310
Phone (402) 228-5969
575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000
6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000
Interoperability endpoints
- samuel.dostal.1@32860.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1217 | NE | |
| Physician Assistant | 363A00000X | 1217 | NE | Yes |
| Medical Physician Assistant | 363AM0700X | 1217 | NE |
Addresses
Primary practice location
430 N Monitor St
West Point, NE 68788-1555
Mailing address
430 N Monitor St
West Point, NE 68788-1555
Phone (402) 372-6717
Other practice location 1
6900 A St
Ste 100
Lincoln, NE 68510-4120
Phone (402) 436-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247112 | Other | NE | MIDLANDS CHOICE |
| 91177983268510A019 | Other | NE | TRI CARE |
Other providers in West Point, NE
- Devyn Collier
- Nathan Collier
- Charles Edward Conard
- James R Dickey
- DK Stover LLC
- Jackson Dubas
- Rhett J Eckmann
- Julia Eilerts
- Chelsie N Englund
- Epe Inc
All providers in West Point, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.