DR. SAMUEL MOULTON M.D.
NPI 1043744527
Orthopaedic Surgery in Issaquah, WA

Q: What is Samuel Moulton's NPI number?

The NPI number for Samuel Moulton is 1043744527. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Q: What is Samuel Moulton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Moulton was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment

510 8TH AVE NE STE 200, ISSAQUAH, WA 98029(425) 392-3030(425) 392-2564 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2023, Apr 12, 2017 (2 updates tracked since 2017).

On this page

About Dr. Samuel Moulton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL MOULTON M.D. (NPI 1043744527) is an individual orthopaedic surgery provider in Issaquah, Washington, licensed in Washington (MD61435678) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043744527

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. SAMUEL MOULTONCredential: M.D.

Location Address510 8TH AVE NE STE 200Issaquah, WA 98029-5436

Mailing Address510 8th Ave Ne Ste 320Issaquah, WA 98029-5436 · (425) 392-3030 · Fax (425) 392-2564

Phone(425) 392-3030

Fax(425) 392-2564

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017

Enumeration DateApril 12, 2017

Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1043744527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WA · MD61435678

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD61435678 (WA)

510 8TH AVE NE STE 200, Issaquah, WA 98029

Open in Google Maps ↗

Secondary Practice Locations 3

Location 118100 NE Union Hill Rd Ste 330Redmond, WA 98052-3330 · Phone (425) 455-3600 · Fax (425) 455-3920

Location 2515 Minor Ave Ste 200Seattle, WA 98104-2133 · Phone (425) 455-3600 · Fax (425) 455-3920

Location 33101 Northup Way Ste 201Bellevue, WA 98004-1449 · Phone (425) 455-3600 · Fax (425) 455-3920

Other Identifiers 1

Medicaid2082179WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Moulton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032482427

PECOS Enrollment IDI20231018000712

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services97 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

99 services29 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

80 services56 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

42 services34 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

31 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500152

Location751 NE Blakely DrIssaquah, WA 98029 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE CAROLINE OUELLET RN, ARNP

Nurse Practitioner