Samuel Douglass, DO
NPI 1063801678 · Diagnostic Radiology Physician · Boise, ID
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Douglass, DO is a Diagnostic Radiology Physician provider in Boise, ID (NPI 1063801678).
Provider details
- NPI number
- 1063801678
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OP61322937 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
322 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 95 | $8 |
| X-Ray of Chest, 2 Views71046 | 47 | $10 |
| X-Ray of Chest, 2 Views71046 | 39 | $10 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 29 | $11 |
| Ct Scan of Chest Without Contrast71250 | 28 | $51 |
| Low Dose Ct Scan of Chest for Lung Cancer Screening71271 | 23 | $48 |
| Ct Scan of Chest With Contrast71260 |
Practice location
Mailing address
Additional practice locations (3)
- 300 W Hospital RdFort Gordon, GA 30905-5741Phone: (706) 787-2175
- 9040 Fitzsimmons DrJoint Base Lewis Mcchord, WA 98431-1000Phone: (253) 968-0369
- 1304 Fawcett Ave Ste 100Tacoma, WA 98402-1900Phone: (253) 761-4200
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Samuel Douglass's NPI number?
- Samuel Douglass's National Provider Identifier (NPI) is 1063801678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Douglass's specialty?
- Samuel Douglass is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Douglass located?
- Samuel Douglass's practice location on file with NPPES is 1055 N Curtis Rd, Boise, ID 83706-1309.
- What is Samuel Douglass's phone number?
- The practice phone number listed in the NPPES registry for Samuel Douglass is (208) 367-2121.
- Does Samuel Douglass accept Medicare?
- Samuel Douglass is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Douglass's NPI active?
- Yes — Samuel Douglass's NPI (1063801678) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.