Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIMOTHY V SAMUELSON MD
NPI 1821085036
Emergency Medicine - Emergency Medical Services in Anchorage, AK

Active since October 03, 2005PECOS Enrolled
3200 PROVIDENCE DR, ANCHORAGE, AK 99508(907) 261-3111(907) 565-8066 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy V Samuelson Md NPPES

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

TIMOTHY V SAMUELSON MD (NPI 1821085036) is an individual emergency medical services provider in Anchorage, Alaska, licensed in Alaska (1008) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821085036
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameTIMOTHY V SAMUELSONCredential: MD
Location Address3200 PROVIDENCE DRAnchorage, AK 99508-4661
Mailing Address3427 E Tudor Rd, Suite AAnchorage, AK 99507-1282 · (907) 565-8005 · Fax (907) 565-8066
Fax(907) 565-8066
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1821085036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in AK · 1008
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

3200 PROVIDENCE DR, Anchorage, AK 99508

Other Identifiers 1

MedicaidMD1188AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy V Samuelson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 20

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

Pediatrics (Pediatric Critical Care Medicine)
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Emergency Medicine
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Registered Nurse (Emergency)
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Pharmacist
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Dietitian, Registered
3200 PROVIDENCE DR, E TOWER, SUITE 3030
ANCHORAGE, AK 99508
Obstetrics & Gynecology
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Pharmacy Technician
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Psychiatry & Neurology (Neurology)
3200 PROVIDENCE DR, SUITE 248
ANCHORAGE, AK 99508

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 Timothy Samuelson's NPI number?

The NPI number for Timothy Samuelson is 1821085036. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Timothy Samuelson located?

Timothy Samuelson practices at 3200 Providence Dr, Anchorage, AK 99508. The listed phone number is (907) 261-3111.

What is Timothy Samuelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Timothy Samuelson enrolled in Medicare?

Yes. Timothy Samuelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Samuelson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.