Samuel Bloomsburg
NPI 1194394502ActiveIndividual· Surgery· Morris, MN
Surgery in Morris, Minnesota, licensed in MN, with an NPI issued in June 2021. Part D covered 65 prescriptions written in 2024, 94% of them generic. Davol Inc. reported $15.44 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1194394502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 21, 2021 |
| Last updated in NPPES | Sep 28, 2026 |
| Certified by provider | Sep 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 83847 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - General Surgery (ND) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 73 30-day fills |
|---|---|
| Patients | 32 |
| Total drug cost | $4,541 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2025$15.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $15.44 | 1 |
What the 2025 payments were for
- Food and Beverage$15.44 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Morris
- 1801809959