SAMUEL DOUGLASS DO
NPI 1063801678
Radiology - Diagnostic Radiology in Boise, ID

Active since January 20, 2015PECOS EnrolledAccepts Medicare Assignment
1055 N CURTIS RD, BOISE, ID 83706(208) 367-2121(706) 596-6720 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2025, Jul 8, 2021 (2 updates tracked since 2021).

About Samuel Douglass Do NPPES

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

SAMUEL DOUGLASS DO (NPI 1063801678) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (OC-0433) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063801678
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSAMUEL DOUGLASSCredential: DO
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing Address877 W Main St Ste 603Boise, ID 83702-6070 · (208) 954-8070 · Fax (208) 954-8073
Fax(706) 596-6720
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2015
Enumeration DateJanuary 20, 2015
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1063801678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in ID · OC-0433 Licensed in WA · OP61322937 Licensed in OR · DO219310 Licensed in NE · 1539
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1055 N CURTIS RD, Boise, ID 83706

Secondary Practice Locations 3

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-0369
Location 2300 W Hospital RdFort Gordon, GA 30905-5741 · Phone (706) 787-2175
Location 31304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

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

Samuel Douglass Do 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 ID6103106091
PECOS Enrollment IDI20240712002972, I20250501002532, I20250506002959
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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
95 services75 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
47 services47 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
39 services38 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
29 services29 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
28 services28 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381315
Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Douglass's NPI number?

The NPI number for Samuel Douglass is 1063801678. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Samuel Douglass located?

Samuel Douglass practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-2121.

What is Samuel Douglass's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Douglass enrolled in Medicare?

Yes. Samuel Douglass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Douglass affiliated with any hospitals?

According to CMS data, Samuel Douglass is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, Saint Alphonsus Medical Center - Ontario, St. Alphonsus Medical Center - Baker City and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Samuel Douglass was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.