Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386104917 Individual Practitioner Male Practitioner

Dr. Samuel Dockery , DO

Emergency Medicine • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Dockery, DO is a certified Emergency Medicine practicing in Kettering, OH. With approximately 7 years of clinical experience since graduating from Touro Un Col Of Osteopathic Medicine, New York in 2019, Dr. Dockery delivers high-quality medical care to the local community at 3525 SOUTHERN BLVD.

Dr. Dockery is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3525 Southern Blvd

Kettering, OH 454291221

Telephone 9373958839
Fax 9373958387
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Touro Un Col Of Osteopathic Medicine, New York

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Kettering, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -9.3 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
149 Specialists

Practicing in Kettering, OH (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dockery (7 Years) 7 Yrs
Kettering Specialty Average (16.3 Years) 16.3 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
99285 Emergency department visit for life threatening or functioning severity
401 396 $1661.01 $167.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
185 177 $78.44 $7.67
99284 Emergency department visit with moderate level of medical decision making
115 115 $1129.20 $116.00
99291 Critical care, first 30-74 minutes
24 23 $2074.73 $202.54
99283 Emergency department visit with low level of medical decision making
14 14 $608.82 $68.15

Medical Specialties & State Licenses

CMS Verified: 2022-07-07
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 34.015695

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2166361768

Practice Associates & Co-Workers

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

29 Associated Practitioners
Dr. Stacey Poznanski , DO

Emergency Medicine

NPI 1063569879

Doctor of Osteopathic Medicine (D.O.)

Dr. Joshua Klepinger , MD

Emergency Medicine

NPI 1144616889

Doctor of Medicine (M.D.)

Dr. Gregory Kohls , MD

Emergency Medicine

NPI 1295981686

Doctor of Medicine (M.D.)

Kelli Thomas

Emergency Medicine

NPI 1316443013
NPI 1316443039

Doctor of Medicine (M.D.)

Dr. Raymond Teneyck , MD

Emergency Medicine

NPI 1326141821

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 March 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2019

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

📍
Updated Business Mailing Address March 20, 2019

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

👤
Provider Name / Credentials Updated March 20, 2019

Recorded as SAMUEL DOCKERY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2019

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: 1386104917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2019
Last Update: July 07, 2022
Sole Proprietor: No

Mailing Address

3525 Southern Blvd

Kettering, OH 454291221

Phone: 9373958839

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.