DR. DANIEL EDGER SAMPSON MD DDS
NPI 1306873575
Dentist - Oral and Maxillofacial Surgery in St Anthony, MN

Active since June 26, 2006Opted out of Medicare · through Oct 1, 2026
3905 SILVER LAKE RD, ST ANTHONY, MN 55421(612) 788-9246(612) 788-5511 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel Edger Sampson Md Dds NPPES

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

DR. DANIEL EDGER SAMPSON MD DDS (NPI 1306873575) is an individual oral and maxillofacial surgery provider in St Anthony, Minnesota, licensed in Minnesota (11023DDS) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306873575
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL EDGER SAMPSONCredential: MD DDS
Location Address3905 SILVER LAKE RDSt Anthony, MN 55421
Mailing Address306 Dearborn CourtEdina, MN 55343 · (612) 788-9246 · Fax (612) 788-5511
Fax(612) 788-5511
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306873575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in MN · 11023DDS Licensed in CA · A61108
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3905 SILVER LAKE RD, St Anthony, MN 55421

Other Identifiers 1

Medicare UPINU72187

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Daniel Edger Sampson Md Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55421 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
3905 SILVER LAKE RD
ST ANTHONY, MN 55421
Dentist (Oral and Maxillofacial Surgery)
3905 SILVER LAKE RD
ST ANTHONY, MN 55421

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 Daniel Sampson's NPI number?

The NPI number for Daniel Sampson is 1306873575. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Daniel Sampson located?

Daniel Sampson practices at 3905 Silver Lake Rd, St Anthony, MN 55421. The listed phone number is (612) 788-9246.

What is Daniel Sampson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Sampson enrolled in Medicare?

No. Daniel Sampson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Sampson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Daniel Sampson 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 Daniel Sampson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.