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Active NPI 1477851673 Individual Practitioner Male Practitioner

Dr. Samuel Stephens Kingsley , MD

Surgery • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Kingsley, MD is a certified Surgery practicing in Chicago, IL. With approximately 21 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 2005, Dr. Kingsley delivers high-quality medical care to the local community at 836 W WELLINGTON AVE RM 4813CC.

Dr. Kingsley is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

836 W Wellington Ave Rm 4813cc

Chicago, IL 606575147

Telephone 7732965073
Fax 7732967199
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicago, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -1.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
579 Specialists

Practicing in Chicago, IL (1624 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kingsley (21 Years) 21 Yrs
Chicago Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
151 52 $712.00 $219.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
86 86 $459.00 $177.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
74 52 $261.00 $119.29
93308 Ultrasound of heart, follow-up
61 61 $160.00 $24.78
76705 Limited ultrasound scan of abdomen
60 60 $80.00 $28.08
99238 Hospital discharge day management, 30 minutes or less
15 15 $177.00 $83.10

Medical Specialties & State Licenses

CMS Verified: 2025-03-20
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036.122553

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

836 W Wellington Ave, Chicago, IL 606575147

Phone: 7732967245

Secondary Practice Locations

444 West Surf Street, Apt 1b

Chicago, IL 606576106

Phone: 7733833707

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Andrea Romano , MD

Surgery - Surgical Critical Care

NPI 1164704201

Doctor of Medicine (M.D.)

Dr. Raquel Weston , MD

Surgery - Surgical Critical Care

NPI 1215370903

Doctor of Medicine (M.D.)

Linda Galambos , CNP

Nurse Practitioner - Acute Care

NPI 1326217019

Certified Nurse Practitioner

Dr. Michele Mellett , MD

Surgery - Surgical Critical Care

NPI 1376588525

Doctor of Medicine (M.D.)

Ida Molavi

Surgery - Trauma Surgery

NPI 1730663907
Dr. Juan Flores Gonzalez , MD

Surgery - Trauma Surgery

NPI 1790134120

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 26, 2022

Registered at 836 W WELLINGTON AVE RM 4813CC, CHICAGO, IL 606575147 (Tel: 7732965073)

📍
Updated Business Mailing Address May 26, 2022

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293 (Tel: 8473905900)

NPI Profile Active March 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2011

Registered at 444 WEST SURF STREET, APT 1B, CHICAGO, IL 606576106 (Tel: 7733833707)

📍
Updated Business Mailing Address March 11, 2011

Registered at 444 WEST SURF STREET, APT 1B, CHICAGO, IL 606576106

👤
Provider Name / Credentials Updated March 11, 2011

Recorded as SAMUEL KINGSLEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2011

Surgery (License #036.122553 in IL)

🟢
Initial NPI Registration & Enumeration March 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477851673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2011
Last Update: March 20, 2025
Sole Proprietor: Yes

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Phone: 8473905900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.