DR. RONALD E SAM D.O.
NPI 1073537643
Internal Medicine in Oak Lawn, IL
About Dr. Ronald E Sam D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RONALD E SAM D.O. (NPI 1073537643) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (336055662) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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. Ronald E Sam D.o. 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.
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 38 times for 38 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 64 times for 50 patientsThis procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
This service was performed 30 times for 16 patientsAn established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
This service was performed 379 times for 119 patientsAn established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
This service was performed 482 times for 141 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $26.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60453 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 50% | 40 |
| Cervical Cancer Screening | 17% | 42 |
| Closing the Referral Loop: Receipt of Specialist Report | 18% | 66 |
| Controlling High Blood Pressure | 73% | 73 |
| Diabetes: Eye Exam | 52% | 42 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 93% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 42 |
| Documentation of Current Medications in the Medical Record | 23% | 265 |
| Falls: Screening for Future Fall Risk | 73% | 45 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36% | 209 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 9% | 187 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 19% | 190 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92% | 169 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 169 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 59% | 76 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 51 |
| Use of High-Risk Medications in Older Adults | 6% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 52 |
| Use of High-Risk Medications in Older Adults | 6% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 52 |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ronald Sam is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | 2800 W 95TH ST EVERGREEN PARK, IL 60805 | (708) 422-6200 | Acute Care Hospitals | |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | 4440 W 95TH STREET OAK LAWN, IL 60453 | (708) 684-8000 | Acute Care Hospitals |
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073537643, enumerated as an "individual" on July 27, 2006.
The provider is located at 9900 SOUTHWEST HWY OAK LAWN, IL 60453 and the phone number is (708) 422-7758.
Internal Medicine with taxonomy code 207R00000X.
Ronald Sam is affiliated with: OSF LITTLE COMPANY OF MARY MEDICAL CENTER and ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER.
