SAMUEL STEVEN JORGENSON (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1962447169
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
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Provider Addresses for SAMUEL STEVEN JORGENSON (M.D.)
360, East Montvue Drive, Meridian, Ada County, Idaho, 83642, United States
SUITE 100
MERIDIAN, ID 836426318
Phone: (208) 855-2900
Fax: (208) 898-9788
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $140,198.
Total Amount is formed as General ($140,198) + Research ($0) + Ownership ($0) = $140,198.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Omnia Medical, LLC ($133,333).
Total Amount
$140,198
General + Research + Ownership
Payments
34
Total payment records
General Amount
$140,198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Omnia Medical, LLC | $133,333 |
| Alphatec Spine, Inc | $5,209 |
| Sawtooth Surgical Solutions Inc | $1,005 |
| Globus Medical, Inc. | $369 |
| Arthrex, Inc. | $205 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050128000392 | I | Orthopedic Surgery | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 56 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 23 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 22612 | Fusion of spine in lower back | 14 | 14 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | ID | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 18 | 18 |
| ORTHOPEDIC SURGERY | ID | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 29 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physician Assistant | ID | |
| Physical Medicine And Rehabilitation, Pain Management | ID | |
| Physical Medicine And Rehabilitation | ID | |
| Physician Assistant | ID |
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