DR. SAMUEL BLAKE KLUGER (MD) – Emergency Medicine Physician, NPI 1154609139

DR. SAMUEL BLAKE KLUGER (MD) is a healthcare provider. based in Lansing, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301119203 (MI). The NPI Number for DR. SAMUEL BLAKE KLUGER (MD) is 1154609139

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL BLAKE KLUGER (MD)
NPI
1154609139
Phone
(616) 975-1845
Address
PO BOX 22067
Enumeration Date
25 July 2011
Last Update Date
21 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163911680
Graduation Year
2011 (15 years ago)
PAC ID
3971729773
Group Practice PAC ID
8628327384
Professional Enrollment ID
I20190809000928
Address ID
MI495032560GR100XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. SAMUEL BLAKE KLUGER (MD)

  • PO BOX 22067

    LANSING, MI 489098016

    Phone: (616) 975-1845

    Fax: (215) 955-2526

    Type: Mailing

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone: (616) 975-1845

    Type: Mailing

  • 100 MICHIGAN ST NE

    GRAND RAPIDS, MI 49503

    Phone: (616) 391-1730

    Type: Location

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 $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Vapotherm Inc ($106).

Total Amount

$243

General + Research + Ownership

Payments

3

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2019-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160811001068IEmergency MedicinePATBD
I20190809000928IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making7875$0
99284Emergency department visit with moderate level of medical decision making4645$0
99291Critical care, first 30-74 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 48909)

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Provider's Procedures

DR. SAMUEL BLAKE KLUGER (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEPA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report149144

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: 8628327384View full group profile

Reviews

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Frequently asked questions

Is DR. SAMUEL BLAKE KLUGER (MD) listed with a National Provider Identifier?
Yes — DR. SAMUEL BLAKE KLUGER (MD) has NPI 1154609139 on file in the registry.
Is DR. SAMUEL BLAKE KLUGER (MD) shown as active in public data?
Registry records indicate DR. SAMUEL BLAKE KLUGER (MD) maintains an active NPI.
What expertise is attributed to DR. SAMUEL BLAKE KLUGER (MD)?
DR. SAMUEL BLAKE KLUGER (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. SAMUEL BLAKE KLUGER (MD) registered?
Use Lansing, Michigan as the headline location for DR. SAMUEL BLAKE KLUGER (MD) here.
Does DR. SAMUEL BLAKE KLUGER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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