Active NPI 1376571091 Individual Practitioner Male Practitioner

Dr. Thomas S Samuelson , MD

Orthopaedic Surgery • Overland Park, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Samuelson, MD is a certified Orthopaedic Surgery practicing in Overland Park, KS. With approximately 38 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1988, Dr. Samuelson delivers high-quality medical care to the local community at 10701 NALL AVE.

Dr. Samuelson is affiliated with Signature Medical Group Of Kc Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10701 Nall Ave
Suite 200

Overland Park, KS 662111231

Telephone 9133815225

Fax 9139010186

Associated Practice Facility / Clinic

🏢 Kansas City Urology Care, P.a. Facility NPI 1528024676

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Overland Park, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +8.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

24 Specialists

Practicing in Overland Park, KS (242 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (38 Years) 38 Yrs

Overland Park Specialty Average (29.3 Years) 29.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	504	135	$12.00	$0.96
20610 Aspiration and/or injection of fluid from large joint	187	142	$362.70	$64.86
99213 Established patient office or other outpatient visit, typically 15 minutes	108	87	$104.00	$86.14
73030 X-ray of shoulder, minimum of 2 views	107	76	$185.00	$32.11
73564 X-ray of knee, 4 or more views	57	47	$173.00	$43.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	44	$81.00	$53.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$185.00	$105.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$151.00	$122.69
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$6100.00	$121.81
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$4882.00	$165.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$159.85
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3910.00	$422.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	458	116	$12.00	$1.06
20610 Aspiration and/or injection of fluid from large joint	162	119	$383.78	$64.52
99213 Established patient office or other outpatient visit, typically 15 minutes	102	82	$104.00	$82.00
73030 X-ray of shoulder, minimum of 2 views	91	68	$185.00	$30.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	52	$81.00	$52.25
73564 X-ray of knee, 4 or more views	48	37	$173.00	$42.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$151.00	$116.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$185.00	$101.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$265.00	$154.71
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$6100.00	$158.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$4882.00	$165.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	402	96	$12.00	$1.15
20610 Aspiration and/or injection of fluid from large joint	151	104	$380.54	$66.07
73030 X-ray of shoulder, minimum of 2 views	112	73	$185.00	$32.66
99213 Established patient office or other outpatient visit, typically 15 minutes	109	84	$104.00	$85.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	53	$81.00	$52.46
73564 X-ray of knee, 4 or more views	43	33	$173.00	$43.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$151.00	$122.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$185.00	$105.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$265.00	$152.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	461	106	$12.00	$1.25
20610 Aspiration and/or injection of fluid from large joint	159	111	$381.14	$65.16
73030 X-ray of shoulder, minimum of 2 views	157	100	$183.97	$31.45
99213 Established patient office or other outpatient visit, typically 15 minutes	153	118	$104.00	$85.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	55	$81.00	$52.67
73564 X-ray of knee, 4 or more views	68	53	$173.00	$42.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$185.00	$104.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$151.00	$123.09
29823 Removal of extensive shoulder joint tissue using an endoscope	16	15	$6100.00	$135.29
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3910.00	$388.34
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$5048.67	$167.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$265.00	$159.03
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$8172.91	$1380.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	418	117	$12.00	$1.43
20610 Aspiration and/or injection of fluid from large joint	175	127	$360.65	$62.62
99213 Established patient office or other outpatient visit, typically 15 minutes	140	110	$104.00	$71.08
73030 X-ray of shoulder, minimum of 2 views	110	79	$185.00	$30.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	47	$81.00	$42.57
73564 X-ray of knee, 4 or more views	62	46	$173.00	$40.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$185.00	$100.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$151.00	$103.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	377	104	$12.00	$1.59
20610 Aspiration and/or injection of fluid from large joint	154	111	$375.17	$62.58
99213 Established patient office or other outpatient visit, typically 15 minutes	131	104	$104.00	$70.34
73030 X-ray of shoulder, minimum of 2 views	115	84	$185.00	$27.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	81	$81.00	$42.23
73564 X-ray of knee, 4 or more views	44	34	$148.20	$38.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$185.00	$102.91
29823 Removal of extensive shoulder joint tissue using an endoscope	19	18	$6100.00	$147.04
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$214.56	$96.42
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$3910.00	$337.29
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$6882.00	$176.93
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$7038.00	$1061.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	361	94	$12.00	$1.80
20610 Aspiration and/or injection of fluid from large joint	168	106	$390.63	$63.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	104	$81.00	$41.21
99213 Established patient office or other outpatient visit, typically 15 minutes	136	111	$104.00	$68.79
73030 X-ray of shoulder, minimum of 2 views	128	71	$182.40	$26.78
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	56	13	$453.00	$146.94
73564 X-ray of knee, 4 or more views	50	36	$164.58	$33.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$185.00	$99.90
73502 X-ray of hip, 2-3 views	34	19	$148.92	$31.50
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$223.00	$93.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	13	$118.00	$33.40
73562 X-ray of knee, 3 views	18	14	$154.00	$33.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	310	95	$12.00	$1.80
20610 Aspiration and/or injection of fluid from large joint	153	105	$385.83	$62.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	105	$81.00	$40.81
99213 Established patient office or other outpatient visit, typically 15 minutes	136	101	$104.00	$68.81
73030 X-ray of shoulder, minimum of 2 views	110	67	$185.00	$26.78
73564 X-ray of knee, 4 or more views	61	48	$173.00	$35.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$185.00	$101.56
73502 X-ray of hip, 2-3 views	28	18	$145.07	$30.84
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$223.00	$92.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$118.00	$37.48
73562 X-ray of knee, 3 views	16	13	$154.00	$32.89
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$3910.00	$254.40
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$6100.00	$130.36

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License KS 0425054

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Kc

20871010

Commercial Insurance / Payer ID Bcbs Other

20871010

Commercial Insurance / Payer ID Aetna

4675214

Commercial Insurance / Payer ID Railroad Medicare

P01049730

Hospital & Practice Group Affiliations

Signature Medical Group Of Kc Pa

10701 Nall Ave, Overland Park, KS 662111358

Phone: 9133815225

Signature Medical Group Of Kc Pa

5721 W 119th St, Overland Park, KS 662093722

Phone: 9134986000

Signature Medical Group Of Kc Pa

12300 Metcalf Ave, Overland Park, KS 662131324

Phone: 8169430706

Signature Medical Group Of Kc Pa

2737 Ne Mcbaine Dr, Lees Summit, MO 640647880

Phone: 9133815225

Practice Associates & Co-Workers

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

26 Associated Practitioners

Abby Pollock , APRN

Nurse Practitioner

NPI 1013404748

Advanced Practice Registered Nurse

Stephen Payne , APRN

Nurse Practitioner - Family

NPI 1013496710

Advanced Practice Registered Nurse

Andrew Dale , PA-C

Physician Assistant

NPI 1043739360

Physician Assistant (Certified)

Susan Scheffler , PA

Physician Assistant

NPI 1053581827

Physician Assistant

Aaron Smith , PA

Physician Assistant

NPI 1104200609

Physician Assistant

Dr. Brandon Barnds , MD

Orthopaedic Surgery - Sports Medicine

NPI 1194112151

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2013

Registered at 10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 662111231 (Tel: 9133815225)

📍

Updated Business Mailing Address August 06, 2013

Registered at 12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 631282786 (Tel: 3148490311)

👤

Provider Name / Credentials Updated August 06, 2013

Recorded as THOMAS SAMUELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Orthopaedic Surgery (License #0425054 in KS)

🟢

Initial NPI Registration & Enumeration June 29, 2006

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: 1376571091

Entity Type:

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

Enumeration Date: June 29, 2006

Last Update: July 29, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12639 Old Tesson Rd, Suite 100

Saint Louis, MO 631282786

Phone: 3148490311

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

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