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SAMUEL J TRAVERSO DO
NPI 1902464647
Family Medicine in La Grange Highlands, IL

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
5201 WILLOW SPRINGS RD STE 300, LA GRANGE HIGHLANDS, IL 60525(708) 482-8088(708) 482-9034 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2025, Jun 11, 2019, May 29, 2019 (3 updates tracked since 2019).

About Samuel J Traverso Do NPPES

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

SAMUEL J TRAVERSO DO (NPI 1902464647) is an individual family medicine provider in La Grange Highlands, Illinois, licensed in Illinois (036160173) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1902464647
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL J TRAVERSOCredential: DO
Location Address5201 WILLOW SPRINGS RD STE 300La Grange Highlands, IL 60525-6539
Mailing Address5201 Willow Springs Rd Ste 300La Grange Highlands, IL 60525-6539 · (708) 482-8088 · Fax (708) 482-9034
Phone(708) 482-8088
Fax(708) 482-9034
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2019
Enumeration DateMay 29, 2019
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1902464647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036160173
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.

5201 WILLOW SPRINGS RD STE 300, La Grange Highlands, IL 60525
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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 J Traverso Do 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 ID4587091343
PECOS Enrollment IDI20230210000201
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 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.
365 services270 patients
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.
199 services155 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140292
Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Traverso's NPI number?

The NPI number for Samuel Traverso is 1902464647. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Samuel Traverso located?

Samuel Traverso practices at 5201 Willow Springs Rd Ste 300, La Grange Highlands, IL 60525. The listed phone number is (708) 482-8088.

What is Samuel Traverso's specialty?

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

Is Samuel Traverso enrolled in Medicare?

Yes. Samuel Traverso 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 Traverso affiliated with any hospitals?

According to CMS data, Samuel Traverso is affiliated with Palos Community Hospital, Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Uchicago Medicine Adventhealth Glenoaks and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Samuel Traverso was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.