Individual provider Active NPI

Samuel Joseph Bauer, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Stevens Point, WI
National Provider Identifier
1467912626
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
85850-20 Issued in WI
Practice address
500 Vincent St
Stevens Point, WI 54481-1842
Phone
(715) 344-0701
Fax
(715) 344-4494
NPI assigned
Mar 23, 2019
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 85850-20 WI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 85850-20 WI Primary

Addresses

Primary practice location

500 Vincent St
Stevens Point, WI 54481-1842

Mailing address

3300 Soo Marie Ave
Stevens Point, WI 54481-5459
Phone (920) 227-7113

Other practice location 1

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (920) 227-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804002745 WI Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5890115810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 344-0701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery Current Accepting new patients
Orthopaedic Centers of Wisconsin S C CurrentSince Sep 1, 2025 Accepting new patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery Past Accepting new patients

Locations

500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 907-0900

Interoperability endpoints

  • Direct secure messaging: samuel.bauer@spo.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1467912626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SOO MARIE AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815459",
            "telephone_number": "920-227-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-344-0701",
            "fax_number": "715-344-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "920-227-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "85850-20",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WI",
            "license": "85850-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.