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SAMUEL DAVID STULBERG MD
NPI 1891740148
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Chicago, IL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
680 N LAKE SHORE DR, SUITE 1028, CHICAGO, IL 60611(312) 664-6848 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel David Stulberg Md NPPES

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

SAMUEL DAVID STULBERG MD (NPI 1891740148) is an individual adult reconstructive orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036053824) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1891740148
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameSAMUEL DAVID STULBERGCredential: MD
Location Address680 N LAKE SHORE DR, SUITE 1028Chicago, IL 60611-4546
Mailing Address680 N Lake Shore Dr, Attn: Lilli Kornblum Suite 1028Chicago, IL 60611-4546 · (312) 475-5535
Phone(312) 664-6848
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1969
Enumeration DateMay 24, 2006
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1891740148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in IL · 036053824
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036-053824 (IL)
680 N LAKE SHORE DR, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 11942 W Fullerton AveChicago, IL 60614-1894 · Phone (847) 866-7846 · Fax (847) 795-9472

Other Identifiers 1

Medicaid036-053824IL

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

Samuel David Stulberg 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 ID446162564
PECOS Enrollment IDI20070105000447
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 6

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.
139 services108 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.
120 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
16 services15 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services15 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
1 supplier12 claims12 services$45.09 avg. paid by Medicare
Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
1 supplier11 claims11 services$40.90 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 20

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

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Stulberg's NPI number?

The NPI number for Samuel Stulberg is 1891740148. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Samuel Stulberg located?

Samuel Stulberg practices at 680 N Lake Shore Dr Suite 1028, Chicago, IL 60611. The listed phone number is (312) 664-6848.

What is Samuel Stulberg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Samuel Stulberg enrolled in Medicare?

Yes. Samuel Stulberg 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.

Is Samuel Stulberg affiliated with any hospitals?

According to CMS data, Samuel Stulberg is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Stulberg was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.