SAMANTHA JO RUNSTROM MD
NPI 1548758766
Family Medicine in Ladysmith, WI

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1101 LAKE AVE W, LADYSMITH, WI 54848(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Jul 18, 2023, Nov 11, 2021 and 5 more (8 updates tracked since 2018).

About Samantha Jo Runstrom Md NPPES

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

SAMANTHA JO RUNSTROM MD (NPI 1548758766) is an individual family medicine provider in Ladysmith, Wisconsin, licensed in Wisconsin (72388-20) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Ladysmith, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548758766
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA JO RUNSTROMCredential: MD
Location Address1101 LAKE AVE WLadysmith, WI 54848-1062
Mailing Address719 W Hamilton Ave Ste BEau Claire, WI 54701-6970 · (715) 552-9784 · Fax (715) 835-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateMarch 7, 20248 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1548758766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 72388-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1101 LAKE AVE W, Ladysmith, WI 54848

Other Names 1

Former Name (1)Samantha Jo Olesiak Md

Accepted 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

Samantha Jo Runstrom Md 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 ID8729335674
PECOS Enrollment IDI20210903001900
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 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.
138 services58 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
100 services49 patients
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.
56 services37 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
51 services38 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
47 services37 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
38 services21 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54848 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers19 claims2,190 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1101 LAKE AVE W
LADYSMITH, WI 54848
Nurse Practitioner (Family)
1101 LAKE AVE W
LADYSMITH, WI 54848
Clinic/Center (Rural Health)
1101 LAKE AVE W
LADYSMITH, WI 54848
Family Medicine
1101 LAKE AVE W
LADYSMITH, WI 54848

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 Samantha Runstrom's NPI number?

The NPI number for Samantha Runstrom is 1548758766. It was assigned to this individual provider in the NPPES registry on April 23, 2018. The provider is also known as Samantha Jo Olesiak MD.

Where is Samantha Runstrom located?

Samantha Runstrom practices at 1101 Lake Ave W, Ladysmith, WI 54848. The listed phone number is (920) 496-4700.

What is Samantha Runstrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Runstrom enrolled in Medicare?

Yes. Samantha Runstrom 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.

What insurance does Samantha Runstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Samantha Runstrom 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.

Is Samantha Runstrom affiliated with any hospitals?

According to CMS data, Samantha Runstrom is affiliated with Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Samantha Runstrom was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.