DR. SAMUEL A.L. BUGBEE (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1073772893

DR. SAMUEL A.L. BUGBEE (M.D.) is a healthcare provider. based in Bloomington, Minnesota. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 48577 (MN). The NPI Number for DR. SAMUEL A.L. BUGBEE (M.D.) is 1073772893

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL A.L. BUGBEE (M.D.)
NPI
1073772893
Phone
(952) 831-8742
Address
8100 NORTHLAND DR
Enumeration Date
6 June 2008
Last Update Date
10 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9528318742
Graduation Year
2005 (21 years ago)
PAC ID
4082768577
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20090818000632
Address ID
MN554314800BL8100XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

243 SPORTS MEDICINE in MN

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Provider Addresses for DR. SAMUEL A.L. BUGBEE (M.D.)

  • Tria Orthopedic Center, 8100, Northland Drive, Bloomington, Hennepin County, Minnesota, 55435, United States

    BLOOMINGTON, MN 554314800

    Phone: (952) 831-8742

    Fax: (952) 831-1626

    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)

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: 2009-08-18

PECOS data refreshed: 2026-06-15

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
I20090818000632ISports MedicineMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg23952$0
99213Established patient office or other outpatient visit, 20-29 minutes158133$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
99214Established patient office or other outpatient visit, 30-39 minutes5858$0
20610Aspiration and/or injection of fluid from large joint5249$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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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: 3173570561View full group profile
NameSpecialtyState
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do payers reference DR. SAMUEL A.L. BUGBEE (M.D.)?
For DR. SAMUEL A.L. BUGBEE (M.D.), use NPI 1073772893 as the unique 10-digit identifier.
Is DR. SAMUEL A.L. BUGBEE (M.D.) still an active registrant?
DR. SAMUEL A.L. BUGBEE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. SAMUEL A.L. BUGBEE (M.D.)'s focus?
For DR. SAMUEL A.L. BUGBEE (M.D.), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL A.L. BUGBEE (M.D.) located near Bloomington?
DR. SAMUEL A.L. BUGBEE (M.D.) currently maps to Bloomington, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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