Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA STOUGH DO
NPI 1962933234
Pediatrics in Boise, ID

Q: What is Samantha Stough's NPI number?

The NPI number for Samantha Stough is 1962933234. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Samantha Stough's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Stough was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 27, 2017PECOS Enrolled

1055 N CURTIS RD, BOISE, ID 83706(208) 302-4600(208) 302-4655 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, May 13, 2022, Dec 8, 2021 and 4 more (7 updates tracked since 2017).

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About Samantha Stough Do NPPES

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

SAMANTHA STOUGH DO (NPI 1962933234) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (OC-0473) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dillon.

NPPES Registry Identity

NPI1962933234

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSAMANTHA STOUGHCredential: DO

Location Address1055 N CURTIS RDBoise, ID 83706-1309

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-4600

Fax(208) 302-4655

Sole ProprietorNo

Enumeration DateMarch 27, 2017

Last NPPES UpdateAugust 24, 20267 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1962933234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ID · OC-0473✔ Licensed in CO · DR.0064580✔ Licensed in OH · 58008378

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1055 N CURTIS RD, Boise, ID 83706

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Secondary Practice Location 1

Location 1365 Dillon Ridge Rd Ste 1200Dillon, CO 80435-6344 · Phone (970) 926-6340 · Fax (970) 926-6348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Samantha Stough Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)