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

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: October 25, 2026.

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

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, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2023).

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
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2023
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blain Anthony Samuelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012365877
PECOS Enrollment IDI20260828001389
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 Blain Samuelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health System
0.4 mi
Psychologist
4455 E 56TH ST
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa enrollment
  • 300 clinicians in this Medicare group
NPI 1346220340 (563) 355-2577

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

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)
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (309) 738-8499
NICHOLAS NICCHITTA DO
Family Medicine
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700
NICHOLE SUSANNE MINCH APRN
Nurse Practitioner (Family)
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700
DR. MARY ANN DEFRANCE MD
Family Medicine
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700
MADELYN NICOLE KUSSMANN PA-C
Physician Assistant
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5870
DR. ALLISON FILLMAN MD
Emergency Medicine
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700
MS. CATHERINE LYNN SCHIERBROCK M.D.
Family Medicine
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700
WHITNEY HESS PA-C
Physician Assistant
2140 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 421-5700

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 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.

Where is Blain Samuelson located?

Blain Samuelson practices at 2140 53rd Ave, Bettendorf, IA 52722. The listed phone number is (563) 421-5700.

What is Blain Samuelson's specialty?

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

Is Blain Samuelson enrolled in Medicare?

Yes. Blain Samuelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Blain Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blain Samuelson reassigns Medicare benefits to Genesis Health System (Davenport, IA). 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 Blain Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blain Samuelson accept?

Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Blain Samuelson 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.

Is Blain Samuelson affiliated with any hospitals?

According to CMS data, Blain Samuelson is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.

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 2 months 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.