1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Urology
  6. NPI Profile

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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Samplaski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc
Same address
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
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.
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.

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
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
MONISH ARON MD
Urology
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
DAVID ALAN GINSBERG M.D.
Urology
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
MR. JOSEPH ALEXANDER PIEPRZYCA PAC
Physician Assistant
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
DR. SIAMAK DANESHMAND M.D.
Urology
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
MRS. LAUREN CAMERON BENDER PHYSICIAN ASSISTANT
Physician Assistant
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
ANTOIN DOUGLAWI M.D.
Urology
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700
DR. STUART D BOYD M.D.
Urology
1516 SAN PABLO ST FL 5
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3700

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 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.

Where is Mary Samplaski located?

Mary Samplaski practices at 1516 San Pablo St Fl 5, Los Angeles, CA 90033. The listed phone number is (323) 865-3700.

What is Mary Samplaski's specialty?

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

Is Mary Samplaski enrolled in Medicare?

Yes. Mary Samplaski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Samplaski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Samplaski reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Samplaski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Samplaski accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Mary Samplaski 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 Mary Samplaski was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.