MR. SAMUEL MEMMELAAR DPM
NPI 1033805130
Podiatrist in Garner, IA

Q: What is Samuel Memmelaar's NPI number?

The NPI number for Samuel Memmelaar is 1033805130. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Samuel Memmelaar's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Memmelaar was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2023PECOS Enrolled

840 W US HIGHWAY 18, GARNER, IA 50438(844) 474-4321(641) 925-1507 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 5, 2026, Apr 12, 2023 (2 updates tracked since 2023).

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About Mr. Samuel Memmelaar Dpm NPPES

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

MR. SAMUEL MEMMELAAR DPM (NPI 1033805130) is an individual podiatrist in Garner, Iowa, licensed in Iowa (137532) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1033805130

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameMR. SAMUEL MEMMELAARCredential: DPM

Location Address840 W US HIGHWAY 18Garner, IA 50438-1023

Mailing Address1316 S Main StClarion, IA 50525-2019 · (844) 474-4321

Phone(844) 474-4321

Fax(641) 925-1507

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2023

Enumeration DateApril 12, 2023

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1033805130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in IA · 137532

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

840 W US HIGHWAY 18, Garner, IA 50438

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Secondary Practice Locations 4

Location 11316 S Main StClarion, IA 50525-2019 · Phone (844) 474-4321 · Fax (515) 532-3119

Location 27727 Lk Under HlOrlando, FL 32822-8224 · Phone (407) 303-8110

Location 3403 1st St SEBelmond, IA 50421-1201 · Phone (844) 474-4321 · Fax (641) 444-5649

Location 4520 S Pierce AveMason City, IA 50401-2749 · Phone (844) 474-4321 · Fax (641) 428-9219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Memmelaar Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941669477

PECOS Enrollment IDI20260626000452

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50438 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 11

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

CASSIE J WAGNER NP

Nurse Practitioner (Pediatrics)