DR. SAMUEL KELLNER DPM
NPI 1386164077
Podiatrist - Foot & Ankle Surgery in Waterbury, CT

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
171 GRANDVIEW AVE STE 104, WATERBURY, CT 06708(203) 753-2048(203) 753-5891 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Jun 3, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Samuel Kellner Dpm NPPES

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

DR. SAMUEL KELLNER DPM (NPI 1386164077) is an individual foot & ankle surgery provider in Waterbury, Connecticut, licensed in Connecticut (001121) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1386164077
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SAMUEL KELLNERCredential: DPM
Location Address171 GRANDVIEW AVE STE 104Waterbury, CT 06708-2517
Mailing Address171 Grandview Ave Ste 104Waterbury, CT 06708-2517 · (203) 753-2048 · Fax (203) 753-5891
Fax(203) 753-5891
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1386164077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CT · 001121
171 GRANDVIEW AVE STE 104, Waterbury, CT 06708

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 Kellner Dpm 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 ID2163843657
PECOS Enrollment IDI20230316001185
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 12

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.
360 services179 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
290 services134 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
269 services127 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
266 services153 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
226 services112 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.
202 services202 patients

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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.43
Promoting Interoperability100
Improvement Activities40

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 Kellner's NPI number?

The NPI number for Samuel Kellner is 1386164077. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Samuel Kellner located?

Samuel Kellner practices at 171 Grandview Ave Ste 104, Waterbury, CT 06708. The listed phone number is (203) 753-2048.

What is Samuel Kellner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Samuel Kellner enrolled in Medicare?

Yes. Samuel Kellner 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.

When was this NPI record last updated?

The NPPES record for Samuel Kellner was last updated on June 7, 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.