Individual provider Active NPI

Paul C Samundsen, MD

  • Family Medicine Physician
  • Merrill, WI
National Provider Identifier
1841307113
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45614 Issued in WI
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

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000499 WI Practitioner - Family PracticePractitioner - Emergency Medicine 7517033483 Reassigns benefits to 9 organizations

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 IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

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 Home health agency, Marshfield, WI, CCN 527189
  • Marshfield Medical Center - Weston Hospital, Weston, WI, CCN 520202
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Aspirus Merrill Hospital Hospital, Merrill, WI, CCN 521339

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45614WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Apr 24, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 24, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Apr 24, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 8, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 8, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 24, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 24, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 24, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 24, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 6, 2018 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

  • Direct secure messaging: paul.samundsen@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.