THOMAS W SAMUELSON (M.D.) – Ophthalmology Physician, NPI 1265427918
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
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Provider Addresses for THOMAS W SAMUELSON (M.D.)
710, East 24th Street, Phillips West, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States
SUITE 100
MINNEAPOLIS, MN 554043840
Phone: (612) 813-3600
Fax: (612) 813-3601
Type: Location
Smiles For Life Dental of Bloomington, 9801, Dupont Avenue South, Bloomington, Hennepin County, Minnesota, 55431, United States
SUITE 425
BLOOMINGTON, MN 554313100
Phone: (652) 567-6092
Fax: (952) 567-6176
Type: Mailing
10709 WAYZATA BLVD STE 200
MINNETONKA, MN 553055509
Phone: (952) 888-5800
Fax: (952) 567-6156
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $76,744.
Total Amount is formed as General ($76,744) + Research ($0) + Ownership ($0) = $76,744.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Research LLC ($22,515).
Total Amount
$76,744
General + Research + Ownership
Payments
74
Total payment records
General Amount
$76,744
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Research LLC | $22,515 |
| Glaukos Corporation | $19,412 |
| Alcon Vision LLC | $16,368 |
| Carl Zeiss Meditec, Inc. | $7,500 |
| ABBVIE INC. | $3,284 |
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: 2004-10-13
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 |
|---|---|---|---|---|
| I20041013000235 | I | Ophthalmology | MN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 561 | 499 | $0 |
| 92083 | Exam of visual field with extended testing | 338 | 323 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 316 | 149 | $0 |
| 92133 | Imaging of optic nerve | 217 | 211 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 213 | 202 | $0 |
Insurance plans in this area (ZIP 55404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| Physician Assistant | MN |
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