Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Samuel Stephens Kingsley , MD

Surgery • Chicago, IL

Active NPI 1477851673 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

836 W Wellington Ave Rm 4813cc
Chicago, IL 606575147

Call 7732965073 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

836 W Wellington Ave Rm 4813cc

Chicago, IL 606575147

Telephone 7732965073
Fax 7732967199
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Advocate Health And Hospitals Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

2005

Medicare patients

197 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $61,685 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $48,723 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $818.38 across 11 records.

By nature of payment

  • Food and Beverage: $818.38 across 11 records.

Reporting-company totals (3 largest of 8)

  • Medtronic, Inc.: $296.94 across 3 records.
  • Kerecis Limited: $148.33 across 1 record.
  • VERTEX PHARMACEUTICALS INCORPORATED: $119.04 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kingsley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kingsley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: 128. Middle half: 61 to 283.

More Medicare Part B services than 75% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: $16,609. Middle half: $6,202 to $44,149.

A higher Medicare-allowed amount than 75% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $32,979. Middle half: $12,408 to $58,178.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: $12,574. Middle half: $4,744 to $34,419.

A higher Medicare payment amount than 75% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $24,820. Middle half: $9,412 to $45,065.

549 active clinicians are listed under Surgery with a practice address in Chicago, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

5.1% of these 549 clinicians have the CMS telehealth indicator.

28.4% of these 549 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 11 records totaling $818.38.

Manufacturer Payment Nature Product Type Amount ($)
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $148.33
Medtronic, Inc.
Food and Beverage
In-kind items and services
SONICISION General $141.13
Medtronic, Inc.
Food and Beverage
In-kind items and services
TRANSORB General $132.51
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $119.04
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE SEAMGUARD Bioabsorbable Staple Line Reinforce General $84.13
Solventum Corporation
Food and Beverage
Cash or cash equivalent
V.A.C.INSTILL General $71.73
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
SPRAVATO General $30.13
Ethicon Inc.
Food and Beverage
In-kind items and services
Echelon Flex General $29.53
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $24.83
Medtronic, Inc.
Food and Beverage
In-kind items and services
PROGRIP General $23.30
PolyNovo North America LLC
Food and Beverage
In-kind items and services
NOVOSORB BTM General $13.72

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
151 52 $712.00 $219.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
86 86 $459.00 $177.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
74 52 $261.00 $119.29
93308 Ultrasound of heart, follow-up
61 61 $160.00 $24.78
76705 Limited ultrasound scan of abdomen
60 60 $80.00 $28.08
99238 Hospital discharge day management, 30 minutes or less
15 15 $177.00 $83.10

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-20
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 036.122553

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20140724002173

Enrollment State Jurisdiction

IL

PECOS Control ID

0648496885

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Advocate Health And Hospitals Corporation

836 W Wellington Ave, Chicago, IL 606575147

Phone: 7732967245

Secondary Practice Locations

444 West Surf Street, Apt 1b

Chicago, IL 606576106

Phone: 7733833707

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Valerie Cooper , PA-C

Physician Assistant

NPI 1881975670

Physician Assistant (Certified)

Dr. Juan Flores Gonzalez , MD

Surgery - Trauma Surgery

NPI 1790134120

Doctor of Medicine (M.D.)

Dr. Elizabeth Gwinn , MD

Surgery - Surgical Critical Care

NPI 1922254127

Doctor of Medicine (M.D.)

Ida Molavi

Surgery - Trauma Surgery

NPI 1730663907
Dr. Andrea Romano , MD

Surgery - Surgical Critical Care

NPI 1164704201

Doctor of Medicine (M.D.)

NPI 1801089016

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location May 26, 2022

Registered at 836 W WELLINGTON AVE RM 4813CC, CHICAGO, IL 606575147 (Tel: 7732965073)

📍
Updated Business Mailing Address May 26, 2022

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293 (Tel: 8473905900)

âś…
NPI Profile Active March 11, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 11, 2011

Registered at 444 WEST SURF STREET, APT 1B, CHICAGO, IL 606576106 (Tel: 7733833707)

📍
Business Mailing Address (Initial Record) March 11, 2011

Registered at 444 WEST SURF STREET, APT 1B, CHICAGO, IL 606576106

👤
Provider Name / Credentials (Initial Record) March 11, 2011

Recorded as SAMUEL KINGSLEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2011

Surgery (license number reported to NPPES: IL 036.122553)

🟢
Initial NPI Registration & Enumeration March 11, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477851673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2011
Last Update: March 20, 2025
Sole Proprietor: Yes

Other Surgery Specialists in Chicago

All Surgery Specialists in Chicago

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Phone: 8473905900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.