Active NPI 1265427918 Individual Practitioner Male Practitioner

Dr. Thomas W Samuelson , MD

Ophthalmology • Minnetonka, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Samuelson, MD is a certified Ophthalmology practicing in Minnetonka, MN. With approximately 41 years of clinical experience since graduating from University Of Minnesota Medical School in 1985, Dr. Samuelson delivers high-quality medical care to the local community at 10709 WAYZATA BLVD STE 200.

Dr. Samuelson is affiliated with Minnesota Eye Consultants, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10709 Wayzata Blvd Ste 200

Minnetonka, MN 553055509

Telephone 9528885800

Fax 9525676156

Associated Practice Facility / Clinic

🏢 Minnesota Eye Laser & Surgery Centers, Llc Facility NPI 1720059421

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Minnetonka, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +10.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Minnetonka, MN (457 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (41 Years) 41 Yrs

Minnetonka Specialty Average (31.0 Years) 31.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	598	527	$210.00	$87.83
92083 Exam of visual field with extended testing	352	323	$140.00	$62.58
92136 Measurement of corneal curvature and depth of eye	338	151	$90.18	$24.50
92133 Imaging of optic nerve	240	235	$83.00	$34.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	177	$290.00	$123.39
66984 Removal of cataract with insertion of lens	156	87	$1500.00	$464.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$380.00	$160.09
92020 Examination of cornea and iris using lens device and slit lamp	116	112	$62.00	$26.90
66821 Removal of recurring cataract in lens capsule using a laser	80	80	$1185.60	$352.91
76514 Ultrasound scan of cornea to determine thickness	79	79	$32.00	$10.16
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	57	35	$4532.00	$585.53
92134 Imaging of retina	49	48	$90.00	$38.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$250.00	$107.03
65855 Laser repair to improve eye fluid flow	30	29	$838.73	$298.86
92014 Established patient complete exam of visual system	18	18	$280.00	$124.06
66030 Injection of medication into eye	12	12	$696.50	$137.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	561	499	$210.00	$88.13
92083 Exam of visual field with extended testing	338	323	$140.00	$62.55
92136 Measurement of corneal curvature and depth of eye	316	149	$92.31	$24.42
92133 Imaging of optic nerve	217	211	$83.00	$35.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	202	$290.00	$124.50
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	180	12	$234.00	$203.00
66984 Removal of cataract with insertion of lens	137	81	$1500.00	$471.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$380.00	$161.15
92020 Examination of cornea and iris using lens device and slit lamp	99	99	$62.00	$27.45
66821 Removal of recurring cataract in lens capsule using a laser	82	82	$1120.54	$353.11
76514 Ultrasound scan of cornea to determine thickness	68	68	$32.00	$10.38
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	57	33	$4532.00	$596.22
92134 Imaging of retina	47	47	$90.00	$38.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$250.00	$105.65
65855 Laser repair to improve eye fluid flow	21	20	$859.57	$305.17
66183 Insertion of eye fluid drainage device	16	15	$2264.00	$978.70
92025 Ct scan of cornea	16	16	$82.00	$35.58
66030 Injection of medication into eye	12	12	$597.00	$220.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	564	487	$207.38	$89.30
92136 Measurement of corneal curvature and depth of eye	368	171	$91.22	$25.85
92083 Exam of visual field with extended testing	334	309	$140.00	$63.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	231	$286.84	$126.67
92133 Imaging of optic nerve	225	223	$83.62	$36.23
66984 Removal of cataract with insertion of lens	178	105	$1517.98	$458.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$378.17	$162.73
92020 Examination of cornea and iris using lens device and slit lamp	117	115	$62.31	$28.07
76514 Ultrasound scan of cornea to determine thickness	80	80	$32.26	$10.68
66821 Removal of recurring cataract in lens capsule using a laser	79	78	$1077.70	$340.95
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	46	29	$4532.00	$601.56
92134 Imaging of retina	29	29	$90.00	$39.03
65855 Laser repair to improve eye fluid flow	26	26	$702.19	$283.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$248.75	$109.56
92025 Ct scan of cornea	16	16	$82.19	$32.92
66179 Creation of shunt to improve eye fluid flow	14	12	$2371.79	$999.73
66170 Creation of eye fluid drainage tract	13	11	$2402.15	$1038.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	664	519	$160.72	$90.89
92136 Measurement of corneal curvature and depth of eye	433	193	$92.76	$28.19
92083 Exam of visual field with extended testing	366	335	$153.93	$64.51
92133 Imaging of optic nerve	277	268	$102.18	$36.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	241	$229.34	$128.75
66984 Removal of cataract with insertion of lens	265	157	$1755.85	$490.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	181	181	$343.76	$166.11
92020 Examination of cornea and iris using lens device and slit lamp	163	157	$71.44	$28.26
76514 Ultrasound scan of cornea to determine thickness	121	121	$38.35	$10.95
0191T Internal insertion of eye fluid drainage device	85	56	$2784.41	$340.40
66821 Removal of recurring cataract in lens capsule using a laser	71	71	$1129.59	$370.47
92025 Ct scan of cornea	22	21	$126.82	$34.99
66179 Creation of shunt to improve eye fluid flow	14	13	$2353.71	$1031.77
92134 Imaging of retina	12	12	$112.50	$40.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$240.00	$111.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	536	424	$135.00	$75.43
92136 Measurement of corneal curvature and depth of eye	352	170	$98.44	$31.88
92083 Exam of visual field with extended testing	335	314	$200.00	$64.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	262	$195.00	$109.35
92133 Imaging of optic nerve	255	250	$135.00	$37.12
66984 Removal of cataract with insertion of lens	209	125	$1900.00	$513.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	159	159	$300.00	$164.25
92020 Examination of cornea and iris using lens device and slit lamp	141	140	$90.00	$28.32
76514 Ultrasound scan of cornea to determine thickness	117	117	$50.00	$11.32
0191T Internal insertion of eye fluid drainage device	65	40	$2987.00	$339.17
66821 Removal of recurring cataract in lens capsule using a laser	64	63	$1002.64	$351.61
92025 Ct scan of cornea	35	35	$200.00	$34.11
92014 Established patient complete exam of visual system	31	31	$230.00	$129.03
92134 Imaging of retina	22	21	$135.00	$39.87
65855 Laser repair to improve eye fluid flow	18	17	$841.17	$272.28
66179 Creation of shunt to improve eye fluid flow	16	14	$2250.00	$1039.60
66170 Creation of eye fluid drainage tract	16	16	$2266.00	$1041.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	573	452	$135.00	$73.80
92136 Measurement of corneal curvature and depth of eye	380	175	$97.82	$34.80
92083 Exam of visual field with extended testing	356	334	$200.00	$64.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	268	$195.00	$108.26
92133 Imaging of optic nerve	250	248	$135.00	$36.35
66984 Removal of cataract with insertion of lens	234	139	$1900.00	$600.65
92020 Examination of cornea and iris using lens device and slit lamp	151	145	$90.00	$27.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$300.00	$162.38
76514 Ultrasound scan of cornea to determine thickness	114	114	$50.00	$11.78
0191T Internal insertion of eye fluid drainage device	65	44	$2987.00	$331.59
66821 Removal of recurring cataract in lens capsule using a laser	64	63	$923.78	$340.32
92025 Ct scan of cornea	39	38	$200.00	$35.16
92014 Established patient complete exam of visual system	35	35	$230.00	$127.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	28	$270.00	$144.64
92134 Imaging of retina	28	28	$135.00	$40.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$370.00	$203.90
66170 Creation of eye fluid drainage tract	16	16	$2266.00	$1087.56
65855 Laser repair to improve eye fluid flow	11	11	$983.18	$279.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	327	$135.00	$71.78
92083 Exam of visual field with extended testing	264	251	$200.00	$63.58
92136 Measurement of corneal curvature and depth of eye	234	107	$96.32	$36.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	152	$195.62	$103.83
66984 Removal of cataract with insertion of lens	160	97	$1900.00	$565.50
92133 Imaging of optic nerve	145	143	$135.00	$36.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$300.00	$159.34
92020 Examination of cornea and iris using lens device and slit lamp	88	80	$90.00	$26.88
76514 Ultrasound scan of cornea to determine thickness	83	83	$50.00	$14.28
0191T Internal insertion of eye fluid drainage device	56	37	$2987.00	$342.51
66821 Removal of recurring cataract in lens capsule using a laser	38	38	$1024.58	$339.32
92014 Established patient complete exam of visual system	38	38	$230.00	$126.32
76519 Ultrasound of eye for determination of lens power	27	11	$88.15	$34.60
92025 Ct scan of cornea	25	24	$200.00	$34.96
92134 Imaging of retina	18	18	$135.00	$40.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	440	330	$134.97	$71.65
92136 Measurement of corneal curvature and depth of eye	259	112	$97.03	$41.84
92083 Exam of visual field with extended testing	212	199	$200.00	$63.85
66984 Removal of cataract with insertion of lens	163	96	$1900.00	$568.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	116	$194.96	$105.69
92133 Imaging of optic nerve	107	107	$135.00	$36.95
92020 Examination of cornea and iris using lens device and slit lamp	104	102	$90.00	$26.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$300.00	$159.78
76514 Ultrasound scan of cornea to determine thickness	91	91	$50.00	$14.05
66821 Removal of recurring cataract in lens capsule using a laser	51	51	$1046.16	$347.05
0191T Internal insertion of eye fluid drainage device	51	35	$2987.00	$424.88
92014 Established patient complete exam of visual system	26	26	$230.00	$123.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$195.00	$105.13
92025 Ct scan of cornea	15	15	$200.00	$34.18
66710 Destruction of lens tissue using laser	13	12	$893.85	$379.12
92134 Imaging of retina	12	11	$135.00	$39.62

Medical Specialties & State Licenses

CMS Verified: 2023-08-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 30302

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

851008300 (MN)

Medicaid State Provider ID

31696600 (WI)

Hospital & Practice Group Affiliations

Minnesota Eye Consultants, Pa

9801 Dupont Ave S, Bloomington, MN 554313200

Phone: 9528885800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Ellen Yang

Ophthalmology

NPI 1033857057

Dr. Honora Kennedy , MD

Ophthalmology

NPI 1063474906

Doctor of Medicine (M.D.)

Laura Gundale , PA-C

Physician Assistant

NPI 1093037772

Physician Assistant (Certified)

Dr. Eugene Gullingsrud , MD

Ophthalmology

NPI 1114994589

Doctor of Medicine (M.D.)

Dr. Lorin Larson , OD

Optometrist

NPI 1134702376

Doctor of Optometry

Dr. Michael Scheidt , OD

Optometrist - Corneal and Contact Management

NPI 1154851970

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 04, 2023

Registered at 10709 WAYZATA BLVD STE 200, MINNETONKA, MN 553055509 (Tel: 9528885800)

✅

NPI Profile Active March 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2013

Registered at 710 E 24TH ST, SUITE 100, MINNEAPOLIS, MN 554043840 (Tel: 6128133600)

📍

Updated Business Mailing Address March 25, 2013

Registered at 9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 554313100 (Tel: 6525676092)

👤

Provider Name / Credentials Updated March 25, 2013

Recorded as THOMAS SAMUELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2013

Ophthalmology (License #30302 in MN)

🟢

Initial NPI Registration & Enumeration September 19, 2005

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: 1265427918

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: August 04, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9801 Dupont Ave S, Suite 425

Bloomington, MN 554313100

Phone: 6525676092

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.