MARK SAMUELSON (M.D.) – Family Medicine Physician, NPI 1679502405

MARK SAMUELSON (M.D.) is a healthcare provider. based in Hingham, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 160446 (MA). The NPI Number for MARK SAMUELSON (M.D.) is 1679502405

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MARK SAMUELSON (M.D.)
NPI
1679502405
Phone
(781) 534-7100
Address
300 Linden Ponds Way
Enumeration Date
2 July 2006
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5087893345
Graduation Year
1997 (29 years ago)
PAC ID
6901866607
Group Practice PAC ID
3678992955
Professional Enrollment ID
I20041018000261
Address ID
MA023324647DU308XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for MARK SAMUELSON (M.D.)

  • 300 Linden Ponds Way

    Hingham, MA 02043

    Phone: (781) 534-7100

    Fax: (781) 534-7358

    Type: Location

  • 56 NEW DRIFTWAY STE 301

    SCITUATE, MA 020664533

    Phone: (781) 544-1388

    Fax: (781) 544-3396

    Type: Mailing

  • 56, New Driftway, Greenbush, Scituate, Plymouth County, Massachusetts, 02066-4457, United States

    SUITE 301

    SCITUATE, MA 02066

    Phone: (781) 544-1388

    Fax: (781) 544-3396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-18

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
I20041018000261IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes282166$0
99442Telephone medical discussion with physician, 11-20 minutes181107$0
99213Established patient office or other outpatient visit, 20-29 minutes176120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8888$0
G0008Administration of influenza virus vaccine4343$0
View full utilization report →

Insurance plans in this area (ZIP 02043)

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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: 3678992955View full group profile
NameSpecialtyState
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMA
Emergency MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for MARK SAMUELSON (M.D.) in the U.S.?
In the U.S., MARK SAMUELSON (M.D.) is identified by NPI 1679502405.
Should I treat MARK SAMUELSON (M.D.) as an active provider?
Patients and plans typically see MARK SAMUELSON (M.D.) as active in the national extract.
Which specialty label fits MARK SAMUELSON (M.D.)?
NPPES ties MARK SAMUELSON (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MARK SAMUELSON (M.D.) tied to Hingham, Massachusetts?
If you are local to Hingham, Massachusetts, MARK SAMUELSON (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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