SAMUEL O'MELIA – Physical Therapist, NPI 1093338428
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for SAMUEL O'MELIA
5192 KERRY LN
RHINELANDER, WI 545013942
Phone: (715) 493-1996
Type: Mailing
5752 TOKAY BLVD
MADISON, WI 537191237
Phone: (608) 417-8050
Type: Location
12570 OLD SEWARD HWY STE 202
ANCHORAGE, AK 995153532
Phone: (907) 222-2886
Fax: (907) 222-2889
Type: Mailing
11430 N PORT WASHINGTON RD
MEQUON, WI 530923414
Phone: (262) 518-1900
Fax: (262) 518-1922
Type: Mailing
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: 2025-11-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210723001189 | I | Physical Therapist In Private Practice | AK | TBD |
| I20251103001654 | I | Physical Therapist In Private Practice | WI | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,136 | 70 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 170 | 28 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 130 | 25 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 30 | 27 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 54501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | CA | |
| - | AK | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | MS | |
| Physical Therapist In Private Practice | AK |
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