Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Samuel David South, MD

Individual provider Surgery Physician · NPI 1154664282

Mr. Samuel David South, MD practises General Surgery in Saint Paul, Minnesota. Graduated from University of Utah School of Medicine in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Colorado, Minnesota and Utah.

Years since qualifying
13
Trained at
University of Utah School of Medicine
Licensed in
CO, MN, UT
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (952) 967-7977
Fax: (651) 254-7990
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1400 E Boulder St Ste 500, Colorado Springs, CO 80909-5533 — (719) 364-6487
  • 420 E Superior Street Rubloff 12th Floor, Chicago, IL 60611 — (312) 503-7975
  • 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 — (801) 213-2598

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 83232 (MN)
Surgery Physician Taxonomy 208600000X · Licence DR.0068718 (CO)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 5267810-1205 (UT)
Surgery Physician Taxonomy 208600000X · Licence 5267810-1205 (UT)

Record details

NPI number1154664282
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 1–10 times
Hernia repair - groin (open) 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients244
Services billed 714 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Education $2,500 1 payment · educational material or training, not a fee
Travel and Lodging $1,447 6 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $44 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

Other providers in Saint Paul