Samuel David South, MD
Surgery · Saint Paul, MN
At a glance
640 Jackson St, Saint Paul, MN 55101-2502
Published activity: Colonoscopy · Hernia repair - groin (open). View counts and coverage
NPPES record updated Sep 23, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
640 Jackson StSaint Paul, MN 55101-2502
Additional reported practice locations
30 N 1900 E Rm 3C344Salt Lake City, UT 841320002
Phone: 8012132598 1400 E Boulder St Ste 500
Colorado Springs, CO 809095533
Phone: 7193646487
Fax: 7193646488 420 E Superior Street Rubloff 12Th Floor
Office Of Graduate Medical Education
Chicago, IL 60611
Phone: 3125037975
Education & affiliations
- Medical / professional school
- University Of Utah School Of Medicine
- Graduation year
- 2013
- CMS specialties
- General Surgery
Practice groups
Reported hospital affiliations
- Uch-Memorial Health System Colorado Springs, CO
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Education | $2,500.00 |
| Travel and lodging | $1,446.57 |
| Food and beverage | $44.00 |
Reporting companies
| Company | Amount |
|---|---|
| INTUITIVE SURGICAL, INC. | $3,990.57 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Surgery
- Taxonomy code
- 208600000X
- Enumeration date
- Mar 27, 2013
- Record updated
- Sep 23, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
208600000X
License reported: DR.0068718 CO
2086S0102X
License reported: 5267810-1205 UT
208600000X · Primary
License reported: 83232 MN
208600000X
License reported: 5267810-1205 UT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
640 Jackson StSaint Paul, MN 55101-2502
- Phone
- (952) 967-7977
- Fax
- (651) 254-7990
Mailing address
8170 33RD AVE S # MS 21110QBLOOMINGTON, MN 554254516
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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