Doctor profile · Federal record
Dr. Samuel Kingsley, MD
Surgery Physician (CMS: General Surgery) · Chicago, IL
- NPI 1477851673
- Accepts Medicare
- 21 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
836 W Wellington Ave Rm 4813Cc
Chicago, IL 606575147
(773) 296-5073
fax (773) 296-7199 - Additional location
-
444 West Surf Street, Apt 1B
Chicago, IL 606576106
(773) 383-3707 - Mailing address
-
29373 Network Pl
Chicago, IL 606731293
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- March 20, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Illinois #036.122553
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477851673. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
554
Distinct HCPCS
8
Medicare allowed
$69,397
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 142 | 64 | $214 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 137 | 93 | $116 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 91 | 88 | $178 | |
76705 |
Limited ultrasound scan of abdomen | 73 | 73 | $30 | |
93308 |
Ultrasound of heart, follow-up | 62 | 62 | $25 | |
99238 |
Hospital discharge day management, 30 minutes or less | 23 | 23 | $84 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 11 | $63 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 11 | 11 | $34 |
In context: peer comparison
Among 54 peers in Chicago Surgery Physician, average services per provider: 84. This provider delivers 6.6× the peer median.Open Payments
Industry payments received
All-time total
$419
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kerecis Limited | 1 | $419.44 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Kingsley's medical specialty?
Dr. Samuel Kingsley practices Surgery Physician in Chicago, IL.
Where does Dr. Samuel Kingsley practice?
Dr. Samuel Kingsley practices at 836 W Wellington Ave Rm 4813Cc, Chicago, IL 606575147. Office phone: 7732965073.
What is Dr. Samuel Kingsley's NPI?
Dr. Samuel Kingsley's National Provider Identifier (NPI) is 1477851673, issued by NPPES.
Does Dr. Samuel Kingsley accept Medicare assignment?
Yes. Dr. Samuel Kingsley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Kingsley commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.