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SAM N. KUCHINKA M.D.
NPI 1639412000
Ophthalmology in Ashland, WI

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
89.68/100
CMS Quality Rating
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE, ASHLAND, WI 54806(715) 685-5500(715) 682-4022 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2020, Mar 17, 2018, Jun 19, 2017 (3 updates tracked since 2017).

About Sam N. Kuchinka M.d. NPPES

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

SAM N. KUCHINKA M.D. (NPI 1639412000) is an individual ophthalmology provider in Ashland, Wisconsin, licensed in Wisconsin (66857) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1639412000
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSAM N. KUCHINKACredential: M.D.
Location AddressMEMORIAL MEDICAL CENTER, 1615 MAPLE LANEAshland, WI 54806
Mailing AddressMemorial Medical Center, 1615 Maple LaneAshland, WI 54806 · (715) 685-5500 · Fax (715) 682-4022
Phone(715) 685-5500
Fax(715) 682-4022
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1639412000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in WI · 66857✔ Licensed in WI · 66857-20
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MEMORIAL MEDICAL CENTER, Ashland, WI 54806
Open in Google Maps ↗

Secondary Practice Location 1

Location 11755 S Grand BlvdSaint Louis, MO 63104-1540 · Phone (314) 256-3240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and more.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

Sam N. Kuchinka M.d. 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 ID3577865989
PECOS Enrollment IDI20170718001568, I20251120002701
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 8

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.
99 services88 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
80 services53 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
59 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
51 services32 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
25 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

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.

CRAIG W. FLORINE M.D.
Ophthalmology
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5500
MARK W. SNEED MD
Ophthalmology
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5500
REBECCA FLEMING APNP
Nurse Practitioner
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5513
REBECCA K NELSON
Counselor (Addiction (Substance Use Disorder))
MEMORIAL MEDICAL CENTER, 1635 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5400

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 Sam Kuchinka's NPI number?

The NPI number for Sam Kuchinka is 1639412000. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Sam Kuchinka located?

Sam Kuchinka practices at Memorial Medical Center 1615 Maple Lane, Ashland, WI 54806. The listed phone number is (715) 685-5500.

What is Sam Kuchinka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sam Kuchinka enrolled in Medicare?

Yes. Sam Kuchinka 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 Sam Kuchinka accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and HealthPartners and 2 other insurers list Sam Kuchinka 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 Sam Kuchinka affiliated with any hospitals?

According to CMS data, Sam Kuchinka is affiliated with Aspirus Ironwood Hospital, St Lukes Hospital, Tamarack Health Hayward Medical Center and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Sam Kuchinka was last updated on September 28, 2023. 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.