Sam Biafora, M.D.
NPI 1205037991 · Orthopaedic Hand Surgery Physician · Crystal Lake, IL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam Biafora, M.D. is a Orthopaedic Hand Surgery Physician provider in Crystal Lake, IL (NPI 1205037991).
Provider details
- NPI number
- 1205037991
- Entity type
- Individual
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-115378 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
493 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 114 | $94 |
| X-Ray of Wrist, Minimum of 3 Views73110 | 97 | $40 |
| X-Ray of Hand, Minimum of 3 Views73130 | 56 | $32 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 54 | $117 |
| X-Ray of Finger, Minimum of 2 Views73140 | 45 | $35 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 33 | $30 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 27 | 26 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2008-08-18
Frequently asked questions
- What is Sam Biafora's NPI number?
- Sam Biafora's National Provider Identifier (NPI) is 1205037991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Biafora's specialty?
- Sam Biafora is listed in the NPPES registry with a primary specialty of Orthopaedic Hand Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sam Biafora located?
- Sam Biafora's practice location on file with NPPES is 420 N Il Route 31, Crystal Lake, IL 60012-3711.
- What is Sam Biafora's phone number?
- The practice phone number listed in the NPPES registry for Sam Biafora is (815) 356-5200.
- Does Sam Biafora accept Medicare?
- Sam Biafora is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sam Biafora's NPI active?
- Yes — Sam Biafora's NPI (1205037991) is active in the NPPES registry as of the last update on 2008-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.