DR. JORDAN SAMUELS (M.D.) – Internal Medicine Physician, NPI 1306074364

DR. JORDAN SAMUELS (M.D.) is a healthcare provider. based in Lake barrington, Illinois. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 036133329 (IL). The NPI Number for DR. JORDAN SAMUELS (M.D.) is 1306074364

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN SAMUELS (M.D.)
NPI
1306074364
Phone
(847) 882-6604
Address
22285 N. PEPPER ROAD
Enumeration Date
30 June 2009
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
84788266042191
Graduation Year
2009 (17 years ago)
PAC ID
8921229527
Group Practice PAC ID
8729069158
Professional Enrollment ID
I20141023002595
Address ID
IL600102542LA22285RDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,188 NEUROLOGY in IL

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Provider Addresses for DR. JORDAN SAMUELS (M.D.)

  • 22285, Pepper Road, Cuba, Lake Barrington, Lake County, Illinois, 60010, United States

    LAKE BARRINGTON, IL 600102538

    Phone: (847) 882-6604

    Fax: (847) 882-6228

    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 3 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: TG Therapeutics, Inc. ($188).

Total Amount

$217

General + Research + Ownership

Payments

3

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141023002595INeurologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes698394$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th326308$0
99205New patient office or other outpatient visit, 60-74 minutes100100$0
99215Established patient office or other outpatient visit, 40-54 minutes7565$0
99291Critical care, first 30-74 minutes7346$0
View full utilization report →

Insurance plans in this area (ZIP 60010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729069158View full group profile
NameSpecialtyState
N E U R O L O G YIL
Neurology, Sleep MedicineIL
N E U R O L O G YIL
N E U R O L O G YIL
Physician AssistantOH
N E U R O L O G YIL
Neurology, Sleep MedicineIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find DR. JORDAN SAMUELS (M.D.)'s NPI?
You can confirm DR. JORDAN SAMUELS (M.D.) with NPI 1306074364; it appears in the national provider directory.
Is DR. JORDAN SAMUELS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JORDAN SAMUELS (M.D.) as an active registrant.
What field does DR. JORDAN SAMUELS (M.D.) work in?
You can think of DR. JORDAN SAMUELS (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JORDAN SAMUELS (M.D.) practice in Illinois?
You will see Lake Barrington, Illinois on file for DR. JORDAN SAMUELS (M.D.) alongside any extra practice locations.
What if Lake Barrington, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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