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DR. SAMUEL DONOVAN KAFFENBERGER M.D.
NPI 1225272503
Urology in Ann Arbor, MI

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR CANCER & GERIATRICS CENTER RECP C, ANN ARBOR, MI 48109(734) 647-8903 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Donovan Kaffenberger M.d. NPPES

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

DR. SAMUEL DONOVAN KAFFENBERGER M.D. (NPI 1225272503) is an individual urology provider in Ann Arbor, Michigan, licensed in Michigan (4301110910) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of University Of Pittsburgh School Of Medicine (2009).

NPPES Registry Identity

NPI1225272503
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAMUEL DONOVAN KAFFENBERGERCredential: M.D.
Location Address1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR CANCER & GERIATRICS CENTER RECP CAnn Arbor, MI 48109-5913
Mailing Address3621 South State Street, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 647-8903
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2009
Enumeration DateApril 30, 2009
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1225272503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in MI · 4301110910✔ Licensed in NY · 2738371
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 EAST MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Donovan Kaffenberger M.d. 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 ID2365751021
PECOS Enrollment IDI20160907002320
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 6

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
47 services33 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
40 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 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
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
17 suppliers119 claims337 services$8.62 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
4 suppliers24 claims56 services$4.65 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers18 claims480 services$2.46 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
9 suppliers52 claims83 services$5.74 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
8 suppliers30 claims72 services$3.47 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers43 claims960 services$4.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CINDY FELCHER PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
JANA SUZANNE BARKMAN NP
Nurse Practitioner (Acute Care)
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI 48109
Washtenaw County (734) 936-7010
KAREN KAURANEN
Occupational Therapist
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-7070
ANN M RAMSEY NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4123
DR. SUSAN RIGGS RUNGE MD
Dermatology
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CENTER RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054
BENJAMIN MARTIN BLY MD
Psychiatry & Neurology (Neurology)
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR UNIVERSITY HOSPITAL ROOM 1B300
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9035
AISHA YOUSUF MD
Obstetrics & Gynecology
1500 EAST MEDICAL CENTER DRIVE, L4100 WOMENS
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9434
KATHARINE ANNE THORNSBERRY NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 11TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4978

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 Kaffenberger's NPI number?

The NPI number for Samuel Kaffenberger is 1225272503. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Samuel Kaffenberger located?

Samuel Kaffenberger practices at 1500 East Medical Center Drive B1 Floor Cancer & Geriatrics Center Recp C, Ann Arbor, MI 48109. The listed phone number is (734) 647-8903.

What is Samuel Kaffenberger's specialty?

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

Is Samuel Kaffenberger enrolled in Medicare?

Yes. Samuel Kaffenberger 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 Kaffenberger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Samuel Kaffenberger 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 Samuel Kaffenberger affiliated with any hospitals?

According to CMS data, Samuel Kaffenberger is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Samuel Kaffenberger was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.