DR. SAMUEL BRANCH KIELEY M.D.
NPI 1003058546
Urology in Woodbury, MN

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
87.7/100
CMS Quality Rating
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125(651) 999-6800(651) 999-6830 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Branch Kieley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL BRANCH KIELEY M.D. (NPI 1003058546) is an individual urology provider in Woodbury, Minnesota, licensed in Minnesota (56349) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (2008).

NPPES Registry Identity

NPI1003058546
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAMUEL BRANCH KIELEYCredential: M.D.
Location Address6025 LAKE RD, SUITE 200Woodbury, MN 55125-1712
Mailing Address6025 Lake Rd, Suite 200Woodbury, MN 55125-1712 · (651) 999-6800 · Fax (651) 999-6830
Fax(651) 999-6830
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2008
Enumeration DateMarch 30, 2009
Last NPPES UpdateSeptember 12, 2013
NPI 1003058546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MN · 56349
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6025 LAKE RD, Woodbury, MN 55125

Other Identifiers 1

Medicare PIN340001293MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Branch Kieley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890937940
PECOS Enrollment IDI20141002000636
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 40

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, testosterone undecanoate, 1 mg J3145
Testosterone undecanoate is a medication given through injection to help regulate hormone levels in the body. It's typically used when the body doesn't produce enough of a certain hormone on its own. The dosage is 1 mg.
50,250 services25 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,060 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,643 services1,466 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,658 services1,120 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
1,499 services1,062 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
620 services536 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.9
Promoting Interoperability89
Improvement Activities40
Cost71.28

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers19 claims4,230 services$0.09 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$1.90 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier35 claims35 services$10.81 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.26 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers56 claims11,550 services$1.42 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier21 claims5,730 services$5.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6025 LAKE RD
WOODBURY, MN 55125
Clinical Nurse Specialist
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Internal Medicine (Hematology & Oncology)
6025 LAKE RD, STE 110
WOODBURY, MN 55125
Genetic Counselor, MS
6025 LAKE RD
WOODBURY, MN 55125
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kieley's NPI number?

The NPI number for Samuel Kieley is 1003058546. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Samuel Kieley located?

Samuel Kieley practices at 6025 Lake Rd Suite 200, Woodbury, MN 55125. The listed phone number is (651) 999-6800.

What is Samuel Kieley's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samuel Kieley enrolled in Medicare?

Yes. Samuel Kieley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Kieley was last updated on September 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.