Active NPI 1356617849 Individual Practitioner Male Practitioner

Dr. Samuel Lespinasse , MD

General Practice • Cicero, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Lespinasse, MD is a certified General Practice practicing in Cicero, IL. With approximately 34 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1992, Dr. Lespinasse delivers high-quality medical care to the local community at 1904 S CICERO AVE.

Dr. Lespinasse is affiliated with Physicians To You Home Health Limited and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, chronic care management services, first, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1904 S Cicero Ave

Cicero, IL 608042545

Telephone 7732639382

Associated Practice Facility / Clinic

🏢 Traveling Doc Inc. Facility NPI 1902102734

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cicero, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -6.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Cicero, IL (355 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

37.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lespinasse (34 Years) 34 Yrs

Cicero Specialty Average (40.0 Years) 40.0 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
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	566	66	$62.00	$43.05
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	461	100	$124.00	$68.67
82962 Blood glucose (sugar) test performed by hand-held instrument	369	82	$5.00	$3.21
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	341	81	$207.00	$139.27
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	331	74	$76.00	$53.42
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	331	82	$136.00	$83.03
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	182	41	$95.00	$51.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	134	78	$86.00	$58.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	129	59	$66.00	$45.66
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	123	72	$94.00	$52.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	65	11	$24.00	$16.43
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	43	29	$174.00	$115.17
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	28	22	$89.00	$49.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	562	80	$124.00	$66.17
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	427	103	$136.00	$80.19
82962 Blood glucose (sugar) test performed by hand-held instrument	417	96	$5.00	$3.21
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	352	96	$207.00	$135.52
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	332	36	$62.00	$41.75
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	227	38	$76.00	$51.26
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	180	38	$95.00	$52.49
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	151	68	$66.00	$44.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	146	86	$86.00	$55.08
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	84	55	$94.00	$49.77
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	74	16	$24.00	$13.05
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	57	36	$29.00	$20.64
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	40	25	$174.00	$110.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	642	92	$122.18	$67.86
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	397	117	$207.00	$135.76
82962 Blood glucose (sugar) test performed by hand-held instrument	259	97	$5.00	$3.24
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	252	103	$136.00	$87.52
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	194	77	$92.16	$51.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	165	105	$86.00	$56.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	165	78	$66.00	$44.25
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	74	41	$174.00	$112.60
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	62	15	$24.00	$15.62
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	32	30	$288.00	$189.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	504	123	$207.00	$136.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	455	93	$68.00	$43.39
82962 Blood glucose (sugar) test performed by hand-held instrument	231	95	$5.00	$3.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	192	107	$86.00	$56.41
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	181	83	$288.00	$188.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	179	82	$66.00	$43.99
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	82	48	$174.00	$112.29
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	35	14	$24.00	$16.68
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	17	$136.00	$88.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	737	118	$68.00	$44.47
82962 Blood glucose (sugar) test performed by hand-held instrument	395	133	$5.00	$3.26
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	332	126	$207.00	$137.04
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	290	127	$288.00	$191.17
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	196	100	$66.00	$43.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	194	126	$86.00	$56.73
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	43	33	$174.00	$113.24
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	15	$24.00	$16.34
99344 New patient home visit, typically 1 hour	14	14	$295.00	$194.80
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$200.00	$116.34
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	11	11	$65.00	$39.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument	631	155	$5.00	$3.21
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	508	146	$288.00	$191.08
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	462	112	$68.00	$44.01
99354 Prolonged office or other outpatient service first hour	240	129	$209.00	$138.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	237	134	$86.00	$56.51
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	196	99	$216.92	$137.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	135	74	$174.00	$114.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	106	70	$66.00	$43.49
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	57	18	$24.00	$15.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	698	163	$288.00	$184.28
99354 Prolonged office or other outpatient service first hour	682	167	$209.00	$134.09
82962 Blood glucose (sugar) test performed by hand-held instrument	646	168	$5.00	$3.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	490	126	$68.00	$43.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	261	147	$86.00	$55.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	167	99	$66.00	$42.58
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	149	86	$174.00	$110.82
99355 Prolonged outpatient service, each additional 30 minutes	41	35	$158.00	$101.41
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	12	$24.00	$14.88
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$358.00	$228.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	834	189	$274.71	$182.09
82962 Blood glucose (sugar) test performed by hand-held instrument	516	172	$4.78	$3.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	261	163	$75.31	$54.70
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	245	120	$174.00	$110.02
99354 Prolonged office or other outpatient service first hour	217	134	$204.98	$130.87
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	216	125	$57.34	$42.00
99355 Prolonged outpatient service, each additional 30 minutes	44	44	$158.00	$99.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	19	$68.00	$42.74
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	16	$24.00	$14.77
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	15	15	$202.20	$130.99
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	15	15	$349.47	$226.71

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036089342

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Physicians To You Home Health Limited

6916 Cermak Rd, Berwyn, IL 604022244

Phone: 7089333840

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2012

Registered at 1904 S CICERO AVE, CICERO, IL 608042545 (Tel: 7732639382)

📍

Updated Business Mailing Address March 28, 2012

Registered at 5940 N DRAKE AVE, CHICAGO, IL 606593203 (Tel: 7732639382)

👤

Provider Name / Credentials Updated March 28, 2012

Recorded as SAMUEL LESPINASSE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2012

General Practice (License #036089342 in IL)

🟢

Initial NPI Registration & Enumeration March 28, 2012

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: 1356617849

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2012

Last Update: March 28, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5940 N Drake Ave

Chicago, IL 606593203

Phone: 7732639382

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.