Samuel Wilson, DO
NPI 1477865194 · Dermatology Physician · Roosevelt, UT
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Wilson, DO is a Dermatology Physician provider in Roosevelt, UT (NPI 1477865194).
Provider details
- NPI number
- 1477865194
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5131797-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,630 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 1,156 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 365 | $88 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 349 | $53 |
| Biopsy of Related Skin Growth, First Growth11102 | 226 | $93 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 106 | $55 |
| Biopsy of Related Skin Growth, Each Additional Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 119 | 62 |
| Mupirocin | 81 | 47 |
| Triamcinolone Acetonide | 74 | 47 |
| Cephalexin | 64 | 45 |
| Hydrocortisone | 45 | 36 |
| Ketoconazole | 40 | 20 |
| Doxycycline Hyclate | 36 | 21 |
| Fluorouracil | 35 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$77 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-10
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Samuel Wilson's NPI number?
- Samuel Wilson's National Provider Identifier (NPI) is 1477865194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Wilson's specialty?
- Samuel Wilson is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Wilson located?
- Samuel Wilson's practice location on file with NPPES is 210 W 300 N, Roosevelt, UT 84066-2336.
- What is Samuel Wilson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Wilson is (435) 722-4691.
- Does Samuel Wilson accept Medicare?
- Samuel Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Wilson's NPI active?
- Yes — Samuel Wilson's NPI (1477865194) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.