Dr. Samuel Lespinasse , MD
General Practice • Cicero, IL
1904 S Cicero Ave
Cicero, IL 608042545
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Samuel Lespinasse is listed in NPPES under General Practice.
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NPI assigned on March 28, 2012; this date does not establish years in practice.
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Published CMS data list 3,103 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99458 — Management using the results of remote vital sign monitoring per calendar month: 566 service units.
- 99490 — Chronic care management services: 461 service units.
- 82962 — Blood glucose (sugar) test performed by hand-held instrument: 369 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 3,961 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 221 prescription fills, including refills.
- Gabapentin — 139 prescription fills, including refills.
- Fluticasone Propionate — 138 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 100 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under General Practice in Illinois (2024, 37 clinicians with data). Median for this group: 736. Middle half: 212 to 2,114.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,250 in 2020 to 3,103 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1904 S Cicero Ave
Cicero, IL 608042545
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Physicians To You Home Health Limited. 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
Loma Linda University School Of Medicine
1992
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
152 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $186,786 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $150,967 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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.
30-day fills
7,749 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$631,708 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2012
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Lespinasse 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.
Can order Medicare-covered services
CMS lists Dr. Lespinasse 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Cicero 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 General Practice in Illinois (2024, 37 clinicians with data). Median for this group: 736. Middle half: 212 to 2,114.
Too few clinicians listed under General Practice in Cicero have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under General Practice in Illinois (2024, 37 clinicians with data). Median for this group: $73,387. Middle half: $21,407 to $177,635.
Too few clinicians listed under General Practice in Cicero have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under General Practice in Illinois (2024, 37 clinicians with data). Median for this group: $52,282. Middle half: $15,206 to $128,352.
Too few clinicians listed under General Practice in Cicero have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under General Practice in Illinois (2024, 57 clinicians with data). Median for this group: 441. Middle half: 57 to 2,096.
Too few clinicians listed under General Practice in Cicero have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under General Practice in Illinois (2024, 57 clinicians with data). Median for this group: $25,642. Middle half: $1,202 to $115,857.
Too few clinicians listed under General Practice in Cicero have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under General Practice with a practice address in Cicero, IL (291 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 38% from 2,250 in 2020 to 3,103 in 2024.
- 2020: 2,250
- 2021: 1,877
- 2022: 2,242
- 2023: 3,049
- 2024: 3,103
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Medicare-allowed amount
Medicare-allowed amount increased 14% from $164,350 in 2020 to $186,786 in 2024.
- 2020: $164,350
- 2021: $153,366
- 2022: $162,403
- 2023: $180,831
- 2024: $186,786
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Paid by Medicare
Paid by Medicare increased 15% from $130,859 in 2020 to $150,967 in 2024.
- 2020: $130,859
- 2021: $121,581
- 2022: $130,027
- 2023: $144,502
- 2024: $150,967
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 39% from 6,489 in 2020 to 3,961 in 2024.
- 2020: 6,489
- 2021: 5,046
- 2022: 4,992
- 2023: 4,591
- 2024: 3,961
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30-day fills
30-day fills decreased 37% from 12,396 in 2020 to 7,749 in 2024.
- 2020: 12,396
- 2021: 9,680
- 2022: 10,232
- 2023: 9,039
- 2024: 7,749
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Part D drug cost
Part D drug cost decreased 16% from $748,653 in 2020 to $631,708 in 2024.
- 2020: $748,653
- 2021: $722,864
- 2022: $882,511
- 2023: $963,002
- 2024: $631,708
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
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 |
|---|---|---|---|---|
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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566 | 66 | $62.00 | $43.05 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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461 | 100 | $124.00 | $68.67 |
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82962
Blood glucose (sugar) test performed by hand-held instrument
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369 | 82 | $5.00 | $3.21 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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341 | 81 | $207.00 | $139.27 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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331 | 82 | $136.00 | $83.03 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
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331 | 74 | $76.00 | $53.42 |
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
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182 | 41 | $95.00 | $51.13 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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134 | 78 | $86.00 | $58.65 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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129 | 59 | $66.00 | $45.66 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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123 | 72 | $94.00 | $52.62 |
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99406
Smoking and tobacco use intensive counseling, 4-10 minutes
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65 | 11 | $24.00 | $16.43 |
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G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
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43 | 29 | $174.00 | $115.17 |
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99347
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
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28 | 22 | $89.00 | $49.10 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 221 | 15,122 | $1,402.25 | 49 |
| Gabapentin | Gabapentin | 139 | 10,200 | $1,789.40 | 34 |
| Fluticasone Propionate | Fluticasone Propionate | 138 | 6,773 | $1,763.39 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 132 | 9,750 | $1,173.52 | 36 |
| Ozempic | Semaglutide | 116 | 4,530 | $148,969.21 | 15 |
| Omeprazole | Omeprazole | 114 | 7,786 | $1,388.22 | 27 |
| Levothyroxine Sodium | Levothyroxine Sodium | 110 | 7,620 | $895.93 | 25 |
| Ammonium Lactate | Ammonium Lactate | 108 | 5,522 | $4,665.19 | 23 |
| Metformin Hcl | Metformin Hcl | 96 | 6,856 | $800.20 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 85 | 6,570 | $1,028.42 | 22 |
| Tramadol Hcl | Tramadol Hcl | 78 | 2,667 | $236.20 | 12 |
| Amlodipine Besylate | Amlodipine Besylate | 77 | 4,636 | $388.03 | 18 |
| Tradjenta | Linagliptin | 75 | 3,528 | $58,077.48 | 14 |
| Myrbetriq | Mirabegron | 75 | 3,241 | $49,003.29 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 71 | 4,800 | $664.72 | 16 |
| Montelukast Sodium | Montelukast Sodium | 69 | 5,100 | $737.46 | 15 |
| Sertraline Hcl | Sertraline Hcl | 68 | 3,924 | $458.39 | 17 |
| Ketoconazole | Ketoconazole | 64 | 2,755 | $3,081.62 | 15 |
| Allopurinol | Allopurinol | 63 | 4,710 | $555.29 | 14 |
| Linzess | Linaclotide | 62 | 2,580 | $46,220.89 | — |
| Valsartan | Valsartan | 61 | 3,180 | $1,227.29 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 58 | 1,622 | $2,641.33 | — |
| Potassium Chloride | Potassium Chloride | 55 | 3,783 | $1,006.15 | 12 |
| Alprazolam | Alprazolam | 54 | 1,462 | $193.00 | — |
| Losartan Potassium | Losartan Potassium | 54 | 3,431 | $489.12 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20120808000349
IL
0345223376
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
Physicians To You Home Health Limited
6916 Cermak Rd, Berwyn, IL 604022244
Phone: 7089333840
Career & Practice History
NPI enumerated March 28, 2012.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
5940 N Drake Ave
Chicago, IL 606593203
Phone: 7732639382