Active NPI
Paul C Samundsen, MD
- Family Medicine Physician
- Merrill, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45614
- Practice address
- 1205 O'Day Street
Merrill, WI 54452 - Phone
- (715) 539-0101
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 45614 | WI | |
| Family Medicine Physician | 207Q00000X | 45614 | WI | Primary |
Addresses
Primary practice location
1205 O'Day Street
Merrill, WI 54452
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 389-0636
Other practice location 1
2268 N Shore Dr
Rhinelander, WI 54501-8888
Phone (715) 420-1400
Other practice location 2
50 Sherry Ave
Park Falls, WI 54552-1467
Phone (715) 762-7311
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northwestern University Feinberg Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals IncAspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
1205 O Day St
Merrill, WI 54452-3416
Phone (715) 539-0101
1207 O Day St
Merrill, WI 54452-3416
Phone (715) 539-9990
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
2727 Plaza Dr
Marshfield, WI 54449-5703
Hospital & facility affiliations
- Compassus Home Health
- Marshfield Medical Center - Weston
- Marshfield Medical Center
- Marshfield Medical Center - Minocqua
- Aspirus Merrill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.03 of 100
- Quality
- 78.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45614 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
1205 O Day St
Merrill, WI 54452
Phone (715) 539-0101
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212
2268 N Shore Dr
Rhinelander, WI 54501
Phone (715) 420-1400
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
Interoperability endpoints
- paul.samundsen@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Clinic/Center
- Wisconsin Rapids, WI
- NPI 1568188589
-
- Clinic/Center
- Neillsville, WI
- NPI 1033701800
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
-
- General Acute Care Hospital
- Weston, WI
- NPI 1902437650
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
-
- Home Health Agency
- Marshfield, WI
- NPI 1245277144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1841307113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-389-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 O'DAY STREET",
"city": "MERRILL",
"state": "WI",
"postal_code": "54452",
"telephone_number": "715-539-0101"
}
],
"practiceLocations": [
{
"address_1": "2268 N Shore Dr",
"address_purpose": "LOCATION",
"city": "Rhinelander",
"state": "WI",
"postal_code": "545018888",
"country_code": "US",
"telephone_number": "715-420-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Sherry Ave",
"address_purpose": "LOCATION",
"city": "Park Falls",
"state": "WI",
"postal_code": "545521467",
"country_code": "US",
"telephone_number": "715-762-7311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMUNDSEN",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2024-04-18",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "45614",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "45614",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2268 N Shore Dr",
"city": "Rhinelander",
"state": "WI",
"country_code": "US",
"postal_code": "545018888",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "1205 O'Day Street",
"city": "Merrill",
"state": "WI",
"country_code": "US",
"postal_code": "54452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.