James Samuel, M.D.
NPI 1104949635 · Family Medicine Physician · Mount Pleasant, WI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Samuel, M.D. is a Family Medicine Physician provider in Mount Pleasant, WI (NPI 1104949635).
Provider details
- NPI number
- 1104949635
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 53694 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
275 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 96 | $82 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 77 | $119 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 50 | $100 |
| Automated Urinalysis Test81003 | 19 | $2 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 18 | $16 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 65 | 63 |
| Methylprednisolone | 64 | 64 |
| Doxycycline Monohydrate | 63 | 62 |
| Amoxicillin | 52 | 50 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 50 | 49 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 43 | 41 |
| Cephalexin | 29 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32,341 across 49 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 7505 Grand AveGurnee, IL 60031-1551Phone: (847) 245-8448Fax: (847) 245-7070
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is James Samuel's NPI number?
- James Samuel's National Provider Identifier (NPI) is 1104949635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Samuel's specialty?
- James Samuel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Samuel located?
- James Samuel's practice location on file with NPPES is 8400 Washington Ave, Mount Pleasant, WI 53406-3735.
- What is James Samuel's phone number?
- The practice phone number listed in the NPPES registry for James Samuel is (262) 884-4088.
- Does James Samuel accept Medicare?
- James Samuel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Samuel's NPI active?
- Yes — James Samuel's NPI (1104949635) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.