ERIC MICHAEL SAMUELSON (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1205050523
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
40 SPORTS MEDICINE in NE
Provider Addresses for ERIC MICHAEL SAMUELSON (MD)
7710 MERCY RD
SUITE 307
OMAHA, NE 681242372
Phone: (402) 398-6248
Fax: (402) 829-8513
Type: Mailing
6829 N 72ND ST
SUITE 7500
OMAHA, NE 681221723
Phone: (402) 717-0820
Fax: (402) 717-6061
Type: Location
6829 N 72nd St
Suite 7500
Omaha, NE 681221723
Phone: (402) 717-0820
Fax: (402) 717-6061
Type: Location
2725 S 144TH ST STE 212
OMAHA, NE 681445253
Phone: (402) 637-0800
Fax: (402) 637-0808
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,371.
Total Amount is formed as General ($1,371) + Research ($0) + Ownership ($0) = $1,371.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,241).
Total Amount
$1,371
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,241 |
| Conetic Solutions, Inc. | $93 |
| Vericel Corporation | $21 |
| KCI USA, Inc. | $17 |
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: 2014-07-25
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 |
|---|---|---|---|---|
| I20140725000217 | I | Sports Medicine | NE | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 248 | 48 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 73 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 44 | $0 |
| 73564 | X-ray of knee, 4 or more views | 27 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 68124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Orthopedic Surgery | NE | |
| - | NE | |
| P O D I A T R Y | IA | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Orthopedic Surgery | NE | |
| Hand Surgery, Orthopedic Surgery | NE | |
| Physical Medicine And Rehabilitation | NE |
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