SAMUEL A NUSSBAUMER (MD) – Interventional Cardiology Physician, NPI 1073515508

SAMUEL A NUSSBAUMER (MD) is a healthcare provider. based in Bedford, Texas. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. G5438 (TX). The NPI Number for SAMUEL A NUSSBAUMER (MD) is 1073515508

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL A NUSSBAUMER (MD)
NPI
1073515508
Phone
(817) 545-4550
Address
1924 FOREST RIDGE DR
Enumeration Date
15 August 2005
Last Update Date
14 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2145702319
Graduation Year
1983 (43 years ago)
PAC ID
7315992906
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20050316000788
Address ID
TX760403707EU251XXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

780 INTERVENTIONAL CARDIOLOGY in TX

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Provider Addresses for SAMUEL A NUSSBAUMER (MD)

  • 1924, Forest Ridge Drive, Bedford, Tarrant County, Texas, 76021, United States

    BEDFORD, TX 760218228

    Phone: (817) 545-4550

    Fax: (817) 571-0804

    Type: Mailing

  • 1400 HOSPITAL PARKWAY, SUITE 100

    BEDFORD, TX 760226928

    Phone: (817) 545-4550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,803.

Total Amount is formed as General ($2,803) + Research ($0) + Ownership ($0) = $2,803.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,124).

Total Amount

$2,803

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,803

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2005-03-16

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
I20050316000788IInterventional CardiologyTXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only838675$0
99214Established patient office or other outpatient visit, 30-39 minutes490321$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report233209$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function183181$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes179106$0
View full utilization report →

Insurance plans in this area (ZIP 76021)

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Provider's Procedures

SAMUEL A NUSSBAUMER (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYTX85610Blood test, clotting time2915
INTERVENTIONAL CARDIOLOGYTX93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3324

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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to SAMUEL A NUSSBAUMER (MD)?
NPI 1073515508 is assigned to SAMUEL A NUSSBAUMER (MD) under the national enumeration system.
Is SAMUEL A NUSSBAUMER (MD) active in the national directory?
SAMUEL A NUSSBAUMER (MD)'s public NPI profile is in an active state.
What kind of provider is SAMUEL A NUSSBAUMER (MD)?
The page reflects Interventional Cardiology Physician for SAMUEL A NUSSBAUMER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMUEL A NUSSBAUMER (MD)?
The page summarizes Bedford, Texas for SAMUEL A NUSSBAUMER (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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