Active NPI 1962432658 Individual Practitioner Female Practitioner

Dr. Bonnie M Samuelson , MD

Family Medicine • Crandon, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bonnie Samuelson, MD is a certified Family Medicine practicing in Crandon, WI. With approximately 32 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1994, Dr. Samuelson delivers high-quality medical care to the local community at 8201 MISH KO SWEN DR.

Dr. Samuelson is affiliated with Forest County Potawatomi Community and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8201 Mish Ko Swen Dr

Crandon, WI 545208631

Telephone 7154784300

Associated Practice Facility / Clinic

🏢 Forest County Potawatomi Health & Wellness Center Facility NPI 1376650499

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Crandon, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -0.7 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 22.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Crandon, WI (3900 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (32 Years) 32 Yrs

Crandon Specialty Average (32.7 Years) 32.7 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
36415 Insertion of needle into vein for collection of blood sample	61	31	$27.52	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	22	$205.90	$120.46
80053 Blood test, comprehensive group of blood chemicals	48	24	$128.75	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	15	$96.67	$7.36
83036 Hemoglobin A1C level	25	16	$99.40	$9.52
90662 Influenza vaccine split virus, preservative free	24	24	$183.08	$81.82
G0008 Administration of influenza virus vaccine	23	23	$47.70	$30.42
77067 Screening mammography	23	23	$574.96	$85.78
77063 Screening digital tomography of both breasts	22	22	$231.50	$25.93
91322 Sarscov2 vac 50 mcg/0.5ml im	21	20	$207.62	$156.22
90480 Admn sarscov2 vacc 1 dose	21	20	$47.43	$40.56
80061 Blood test, lipids (cholesterol and triglycerides)	16	15	$155.00	$12.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	46	28	$27.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	19	$204.00	$122.53
80053 Blood test, comprehensive group of blood chemicals	25	17	$127.00	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	14	$95.00	$7.61
77063 Screening digital tomography of both breasts	16	16	$174.00	$23.25
77067 Screening mammography	16	16	$417.00	$89.22
G0008 Administration of influenza virus vaccine	13	13	$46.00	$28.93
80061 Blood test, lipids (cholesterol and triglycerides)	12	11	$152.00	$13.12
90662 Influenza vaccine split virus, preservative free	12	12	$135.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	45	34	$27.42	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$268.49	$123.88
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$190.15	$87.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$89.14	$7.67
80053 Blood test, comprehensive group of blood chemicals	14	14	$125.62	$10.37
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$125.00	$50.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	72	$303.30	$125.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$321.40	$108.19
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$199.70	$87.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	32	$76.20	$7.77
81001 Manual urinalysis test with examination using microscope, automated	32	31	$31.00	$3.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$472.50	$162.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	23	23	$89.80	$6.08
36415 Insertion of needle into vein for collection of blood sample	17	16	$28.60	$3.00
86140 Measurement C-reactive protein for detection of infection or inflammation	15	15	$52.80	$5.18
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$83.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	12	12	$103.60	$10.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	89	$193.13	$72.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	57	$294.61	$104.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	36	$74.08	$7.51
81001 Manual urinalysis test with examination using microscope, automated	31	28	$30.07	$3.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$319.63	$104.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$219.16	$77.48
80053 Blood test, comprehensive group of blood chemicals	17	17	$101.01	$10.54
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$144.00	$50.30
80048 Blood test, basic group of blood chemicals (calcium, total)	17	17	$80.36	$7.88
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$88.45	$8.10
86140 Measurement C-reactive protein for detection of infection or inflammation	11	11	$51.35	$5.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$121.15	$48.54
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$191.32	$69.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$210.54	$76.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$288.45	$105.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$107.68	$56.42
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$55.64	$49.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$133.93	$60.26
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$51.15	$47.58

Medical Specialties & State Licenses

CMS Verified: 2022-03-21

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License WI 43356

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WI 43356

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34087600 (WI)

Hospital & Practice Group Affiliations

Forest County Potawatomi Community

8201 Mish Ko Swen Dr, Crandon, WI 545208631

Phone: 7154784300

Secondary Practice Locations

2720 Plaza Dr, Suite 1100

Wausau, WI 544014158

Phone: 7158472472

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Apolinar Ed Jovellana , MD

General Practice

NPI 1023026903

Doctor of Medicine (M.D.)

Jacklin Sailo , FNP

Nurse Practitioner - Family

NPI 1053619387

Family Nurse Practitioner

Dr. William Pierre , OD TPA

Optometrist

NPI 1114935095

ODTPA

David Rynearson , LPC

Counselor - Mental Health

NPI 1164939047

Licensed Professional Counselor

Laura Meverden , APNP

Nurse Practitioner - Family

NPI 1265002828

Advanced Practice Nurse Prescriber

William Waugh , CSAC

Counselor - Addiction (Substance Use Disorder)

NPI 1265440143

Certified Substance Abuse Counselor

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 21, 2022

Registered at 8201 MISH KO SWEN DR, CRANDON, WI 545208631 (Tel: 7154784300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2022

Emergency Medicine (License #43356 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2022

Family Medicine (License #43356 in WI)

✅

NPI Profile Active March 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2009

Registered at 2720 PLAZA DR, SUITE 1100, WAUSAU, WI 544014158 (Tel: 7158472472)

📍

Updated Business Mailing Address March 18, 2009

Registered at 3000 WESTHILL DR, SUITE 303, WAUSAU, WI 544013795

👤

Provider Name / Credentials Updated March 18, 2009

Recorded as BONNIE SAMUELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2009

Emergency Medicine (License #43356 in WI)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1962432658

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: March 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3000 Westhill Dr, Suite 303

Wausau, WI 544013795

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.