DR. MARY KATHERINE SAMPLASKI MD
NPI 1093985756
Urology in Los Angeles, CA

Q: What is Mary Samplaski's NPI number?

The NPI number for Mary Samplaski is 1093985756. It was assigned to this individual provider in the NPPES registry on March 8, 2008.

Q: What is Mary Samplaski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Samplaski was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2008PECOS Enrolled

1516 SAN PABLO ST FL 5, LOS ANGELES, CA 90033(323) 865-3700 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, Mar 13, 2019 (2 updates tracked since 2019).

On this page

About Dr. Mary Katherine Samplaski Md NPPES

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

DR. MARY KATHERINE SAMPLASKI MD (NPI 1093985756) is an individual urology provider in Los Angeles, California, licensed in California (A131958) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093985756

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameDR. MARY KATHERINE SAMPLASKICredential: MD

Location Address1516 SAN PABLO ST FL 5Los Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3700

Phone(323) 865-3700

Sole ProprietorNo

Enumeration DateMarch 8, 2008

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1093985756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A131958

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.

1516 SAN PABLO ST FL 5, Los Angeles, CA 90033

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Katherine Samplaski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

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.

117 services71 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.

44 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Leave this field empty

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.

DR. SAUM BOBAK GHODOUSSIPOUR M.D.

Urology