THOMAS W SAMUELSON M.D.
NPI 1265427918
Ophthalmology in Minnetonka, MN

Q: What is Thomas Samuelson's NPI number?

The NPI number for Thomas Samuelson is 1265427918. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Thomas Samuelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Samuelson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

85.24/100

CMS Quality Rating

10709 WAYZATA BLVD STE 200, MINNETONKA, MN 55305(952) 888-5800(952) 567-6156 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Thomas W Samuelson M.d. NPPES

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

THOMAS W SAMUELSON M.D. (NPI 1265427918) is an individual ophthalmology provider in Minnetonka, Minnesota, licensed in Minnesota (30302) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1985).

NPPES Registry Identity

NPI1265427918

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameTHOMAS W SAMUELSONCredential: M.D.

Location Address10709 WAYZATA BLVD STE 200Minnetonka, MN 55305-5509

Mailing Address9801 Dupont Ave S, Suite 425Bloomington, MN 55431-3100 · (652) 567-6092 · Fax (952) 567-6176

Phone(952) 888-5800

Fax(952) 567-6156

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1985

Enumeration DateSeptember 19, 2005

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1265427918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MN · 30302

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

10709 WAYZATA BLVD STE 200, Minnetonka, MN 55305

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Other Identifiers 2

Medicaid851008300MN

Medicaid31696600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas W Samuelson 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 ID2668362922

PECOS Enrollment IDI20041013000235

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 Reassignments

Medicare enrollment records show Thomas Samuelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

3.4 mi

General Practice

5100 GAMBLE DR, STE 100
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1053466128 (952) 593-0779

Hennepin Healthcare System, Inc

7.3 mi

Clinic/Center

300 S 6TH ST, GOVERNMENT CENTER-A 120
Minneapolis, MN 55487

Reassigned Medicare billing, Minnesota enrollment
1,247 clinicians in this Medicare group

NPI 1528361573 (612) 348-4628

Minnesota Eye Consultants, PA

12 mi

Ophthalmology

9801 DUPONT AVE S, SUITE 200
Bloomington, MN 55431

Reassigned Medicare billing, Minnesota enrollment
35 clinicians in this Medicare group

NPI 1508839879 (952) 888-5800

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 16

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.

598 services527 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

352 services323 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

338 services151 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

240 services235 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.

197 services177 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

156 services87 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

121 services121 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

116 services112 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

80 services80 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

79 services79 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

57 services35 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

49 services48 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.

37 services37 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

30 services29 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

18 services18 patients

Injection of medication into eye 66030

This procedure involves administering medication directly into your eye. A tiny needle is used to deliver the drug into the vitreous, a jelly-like substance in the eye. It helps treat conditions like macular degeneration or diabetic retinopathy. It's generally safe and effective.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55305 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.91

Promoting Interoperability

100

Improvement Activities

Cost

52.88

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EUGENE O GULLINGSRUD M.D.

Ophthalmology

10709 WAYZATA BLVD STE 200
MINNETONKA, MN 55305

Hennepin County (952) 888-5800

ALYSON L BLAKSTAD OD

Optometrist (Corneal and Contact Management)

10709 WAYZATA BLVD STE 200
MINNETONKA, MN 55305

Hennepin County (952) 888-5800

CHAD MICHAEL SERELS

Ophthalmology

10709 WAYZATA BLVD STE 200
MINNETONKA, MN 55305

Hennepin County (952) 888-5800

MR. MARK DSOUZA PA

Physician Assistant

10709 WAYZATA BLVD STE 200
MINNETONKA, MN 55305

Hennepin County (952) 888-5800

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 Thomas Samuelson's NPI number?

The NPI number for Thomas Samuelson is 1265427918. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Thomas Samuelson located?

Thomas Samuelson practices at 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305. The listed phone number is (952) 888-5800.

What is Thomas Samuelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Thomas Samuelson enrolled in Medicare?

Yes. Thomas Samuelson 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.

Which organizations bill Medicare for Thomas Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Samuelson reassigns Medicare benefits to 3 organizations: Group Health, Inc. (St Louis Park, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and Minnesota Eye Consultants, PA (Bloomington, MN). Each 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 Thomas Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Samuelson accept?

Health plans from HealthPartners and Providence Health Plan list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Samuelson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.