SAMUEL ROTH SKOVGAARD M.D.
NPI 1184088155
Surgery in Port Angeles, WA

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
80.97/100
CMS Quality Rating
519 S PEABODY ST, PORT ANGELES, WA 98362(360) 417-7000(360) 565-9241 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2022, Jun 8, 2022 (2 updates tracked since 2022).

About Samuel Roth Skovgaard M.d. NPPES

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

SAMUEL ROTH SKOVGAARD M.D. (NPI 1184088155) is an individual surgery provider in Port Angeles, Washington, licensed in Washington (MD61321058) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184088155
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSAMUEL ROTH SKOVGAARDCredential: M.D.
Location Address519 S PEABODY STPort Angeles, WA 98362-6229
Mailing Address519 S Peabody StPort Angeles, WA 98362-6229 · (360) 565-9237
Fax(360) 565-9241
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
NPI 1184088155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD61321058
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

519 S PEABODY ST, Port Angeles, WA 98362

Accepted 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

Samuel Roth Skovgaard 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 ID6305138496
PECOS Enrollment IDI20220830000319
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 15

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services22 patients
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.
43 services37 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.
41 services41 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.63
Promoting Interoperability79
Improvement Activities40
Cost64.44

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 Skovgaard's NPI number?

The NPI number for Samuel Skovgaard is 1184088155. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Samuel Skovgaard located?

Samuel Skovgaard practices at 519 S Peabody St, Port Angeles, WA 98362. The listed phone number is (360) 417-7000.

What is Samuel Skovgaard's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Skovgaard enrolled in Medicare?

Yes. Samuel Skovgaard 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.

What insurance does Samuel Skovgaard accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Skovgaard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Skovgaard affiliated with any hospitals?

According to CMS data, Samuel Skovgaard is affiliated with Olympic Medical Center and Forks Community Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Skovgaard was last updated on October 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.