Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SAMUEL OLSON MD
NPI 1093402125
Family Medicine in Saint Paul, MN

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Apr 25, 2024 (2 updates tracked since 2024).

About Dr. Samuel Olson Md NPPES

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

DR. SAMUEL OLSON MD (NPI 1093402125) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (77981) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2023).

NPPES Registry Identity

NPI1093402125
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL OLSONCredential: MD
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1093402125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 77981
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 MARYLAND AVE E, Saint Paul, MN 55106

Other Names 1

Other Name (5)Sam Olson Md

Secondary Practice Location 1

Location 12925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 262-9000

Accepted Insurance

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 Olson Md 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 ID3870951601
PECOS Enrollment IDI20250605002255
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 55106 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 20

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

Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106

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 Olson's NPI number?

The NPI number for Samuel Olson is 1093402125. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Sam Olson MD.

Where is Samuel Olson located?

Samuel Olson practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Samuel Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Olson enrolled in Medicare?

Yes. Samuel Olson 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.

What insurance does Samuel Olson accept?

Health plans from Medica list Samuel Olson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Olson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.