Doctor profile · Federal record
Dr. Mary Samulevich, APRN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Springfield, IL
- NPI 1013504414
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2200 Wabash Ave
Springfield, IL 627045352
(217) 528-7541
fax (217) 787-7104 - Mailing address
-
1025 S 6Th St
Springfield, IL 627032499
Credentials & registration
- NPI registered
- December 2020 — 6 yrs on file
- Profile last updated
- December 21, 2021
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Illinois #209020043
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013504414. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
304
Distinct HCPCS
5
Medicare allowed
$21,444
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 98 | 83 | $101 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 80 | 59 | $72 | |
36415 |
Insertion of needle into vein for collection of blood sample | 67 | 54 | $6 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | 48 | $105 | |
G0008 |
Administration of influenza virus vaccine | 11 | 11 | $30 |
In context: peer comparison
Among 97 peers in this city , average services per provider: 140. This provider delivers 2.2× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Optinose US, Inc. | 1 | $18.96 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
577
Patients
187
Total drug cost
$7,558
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 60 | 18 | $754 |
| Levothyroxine Sodium | Generic | 57 | 18 | $902 |
| Omeprazole | Generic | 49 | 20 | $778 |
| Hydrochlorothiazide | Generic | 42 | 14 | $353 |
| Lisinopril | Generic | 42 | 15 | $478 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 41 | 16 | $1,783 |
| Gabapentin | Generic | 39 | 0 | $273 |
| Amlodipine Besylate | Generic | 36 | 15 | $374 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 36 | 32 | $267 |
| Prednisone | Generic | 33 | 28 | $70 |
Frequently asked questions
What is Dr. Mary Samulevich's medical specialty?
Dr. Mary Samulevich practices Family Nurse Practitioner in Springfield, IL.
Where does Dr. Mary Samulevich practice?
Dr. Mary Samulevich practices at 2200 Wabash Ave, Springfield, IL 627045352. Office phone: 2175287541.
What is Dr. Mary Samulevich's NPI?
Dr. Mary Samulevich's National Provider Identifier (NPI) is 1013504414, issued by NPPES.
Does Dr. Mary Samulevich accept Medicare assignment?
Yes. Dr. Mary Samulevich accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Samulevich commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.