SAMUEL DOCKERY DO
NPI 1386104917
Emergency Medicine in Kettering, OH

Q: What is Samuel Dockery's NPI number?

The NPI number for Samuel Dockery is 1386104917. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Samuel Dockery's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Dockery was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 20, 2019PECOS EnrolledAccepts Medicare Assignment

3525 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8839(937) 395-8387 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2022, Mar 20, 2019 (2 updates tracked since 2019).

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About Samuel Dockery Do NPPES

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

SAMUEL DOCKERY DO (NPI 1386104917) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (34.015695) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2019).

NPPES Registry Identity

NPI1386104917

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSAMUEL DOCKERYCredential: DO

Location Address3525 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address3525 Southern BlvdKettering, OH 45429-1221 · (937) 395-8839 · Fax (937) 395-8387

Phone(937) 395-8839

Fax(937) 395-8387

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1386104917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 34.015695

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3525 SOUTHERN BLVD, Kettering, OH 45429

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Dockery 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 ID8729320312

PECOS Enrollment IDI20220726003370

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

401 services396 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

185 services177 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

115 services115 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services23 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

DR. STACEY LYNN POZNANSKI DO

Emergency Medicine