SAMUEL KAREL VAN DE VELDE MD, PHD
NPI 1043868219
Orthopaedic Surgery in Brooklyn, NY

Active since August 30, 2019PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
515 6TH STREET, 4TH FLOOR, BROOKLYN, NY 11215(718) 246-8700 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Apr 5, 2021, Aug 30, 2019 (3 updates tracked since 2019).

About Samuel Karel Van De Velde Md, Phd NPPES

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

SAMUEL KAREL VAN DE VELDE MD, PHD (NPI 1043868219) is an individual orthopaedic surgery provider in Brooklyn, New York, licensed in New York (306508) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1043868219
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSAMUEL KAREL VAN DE VELDECredential: MD, PHD
Location Address515 6TH STREET, 4TH FLOORBrooklyn, NY 11215
Mailing Address622 W 168th St Ph 11New York, NY 10032-3720 · (718) 246-8772
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 30, 2019
Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1043868219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 306508
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License MDRE.ML.60979056 (WA)
515 6TH STREET, Brooklyn, NY 11215

Secondary Practice Location 1

Location 14800 Sand Point Way NESeattle, WA 98105-3901 · Phone (206) 987-3852 · Fax (206) 987-3852

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

Samuel Karel Van De Velde Md, Phd 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 ID8123350287
PECOS Enrollment IDI20201201000770
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
515 6TH STREET
BROOKLYN, NY 11215
Internal Medicine
515 6TH STREET
BROOKLYN, NY 11215
Pharmacy (Institutional Pharmacy)
515 6TH STREET, C/O PHARMACY 6TH FLOOR
BROOKLYN, NY 11215
Internal Medicine (Endocrinology, Diabetes & Metabolism)
515 6TH STREET
BROOKLYN, NY 11215

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 Van De Velde's NPI number?

The NPI number for Samuel Van De Velde is 1043868219. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Samuel Van De Velde located?

Samuel Van De Velde practices at 515 6th Street 4th Floor, Brooklyn, NY 11215. The listed phone number is (718) 246-8700.

What is Samuel Van De Velde's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Samuel Van De Velde enrolled in Medicare?

Yes. Samuel Van De Velde 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 Van De Velde was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.