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SAMUEL E KINZER MD
NPI 1417942350
Pediatrics in Coralville, IA

Active since September 16, 2005PECOS Enrolled
2593 HOLIDAY RD, CORALVILLE, IA 52241(319) 339-1231(319) 688-2930 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samuel E Kinzer Md NPPES

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

SAMUEL E KINZER MD (NPI 1417942350) is an individual pediatrics provider in Coralville, Iowa, licensed in Iowa (36057) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417942350
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSAMUEL E KINZERCredential: MD
Location Address2593 HOLIDAY RDCoralville, IA 52241-2781
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 339-1231 · Fax (319) 688-2930
Phone(319) 339-1231
Fax(319) 688-2930
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1417942350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · 36057
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2593 HOLIDAY RD, Coralville, IA 52241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel E Kinzer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Samuel Kinzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
0.3 mi
Family Medicine
2510 CORRIDOR WAY, SUITE 6A
Coralville, IA 52241
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1033424650 (319) 384-8500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52241 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 3

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

SUZANNE BROWN HENRY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2593 HOLIDAY RD
CORALVILLE, IA 52241
Johnson County (319) 248-0065
KYLE J EWALD DNP, ARNP
Nurse Practitioner (Pediatrics)
2593 HOLIDAY RD
CORALVILLE, IA 52241
Johnson County (319) 339-1231
DR. JESSICA MARIE GRIMMOND MD
Pediatrics
2593 HOLIDAY RD
CORALVILLE, IA 52241
Johnson County (319) 339-1231

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 Kinzer's NPI number?

The NPI number for Samuel Kinzer is 1417942350. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Samuel Kinzer located?

Samuel Kinzer practices at 2593 Holiday Rd, Coralville, IA 52241. The listed phone number is (319) 339-1231.

What is Samuel Kinzer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Kinzer enrolled in Medicare?

Yes. Samuel Kinzer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Kinzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kinzer reassigns Medicare benefits to State University Of Iowa (Coralville, 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 Samuel Kinzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Kinzer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Samuel Kinzer 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 Samuel Kinzer was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.