JONATHAN SAMUEL M.D., M.P.H.
NPI 1457570723
Surgery in Clackamas, OR

Q: What is Jonathan Samuel's NPI number?

The NPI number for Jonathan Samuel is 1457570723. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Jonathan Samuel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Samuel was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 25, 2007PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Samuel M.d., M.p.h. NPPES

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

JONATHAN SAMUEL M.D., M.P.H. (NPI 1457570723) is an individual surgery provider in Clackamas, Oregon, licensed in North Carolina (2007-00921) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2004).

NPPES Registry Identity

NPI1457570723

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJONATHAN SAMUELCredential: M.D., M.P.H.

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address10180 Se Sunnyside RdClackamas, OR 97015-8970

Phone(503) 652-2880

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2004

Enumeration DateApril 25, 2007

Last NPPES UpdateOctober 10, 2014

✔ NPI 1457570723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 2007-00921

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2007-00921 (NC)

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Jonathan Samuel M.d., M.p.h. 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 ID6406000546

PECOS Enrollment IDI20141204001323

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.

Hospital Affiliations CMS Care Compare

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

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380091

Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 20

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

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology