Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAIN ANTHONY SAMUELSON MD
NPI 1154011567
Family Medicine in Bettendorf, IA

Q: What is Blain Samuelson's NPI number?

The NPI number for Blain Samuelson is 1154011567. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Blain Samuelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blain Samuelson was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 09, 2023PECOS Enrolled

2140 53RD AVE, BETTENDORF, IA 52722(563) 421-5700 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, May 9, 2023 (2 updates tracked since 2023).

On this page

About Blain Anthony Samuelson Md NPPES

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

BLAIN ANTHONY SAMUELSON MD (NPI 1154011567) is an individual family medicine provider in Bettendorf, Iowa, licensed in Iowa (MD-56075) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154011567

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBLAIN ANTHONY SAMUELSONCredential: MD

Location Address2140 53RD AVEBettendorf, IA 52722-6279

Mailing Address2140 53rd AveBettendorf, IA 52722-6279 · (563) 421-5700

Phone(563) 421-5700

Sole ProprietorYes

Enumeration DateMay 9, 2023

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1154011567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · MD-56075

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.

2140 53RD AVE, Bettendorf, IA 52722

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blain Anthony Samuelson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52722 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

MRS. CHRISTINA MARIE CUNNINGHAM ARNP

Nurse Practitioner (Family)