DR. SAMUEL M. DONOHOE (MD) – Internal Medicine Physician, NPI 1073806865

DR. SAMUEL M. DONOHOE (MD) is a healthcare provider. based in Mount vernon, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A120494 (CA). The NPI Number for DR. SAMUEL M. DONOHOE (MD) is 1073806865

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL M. DONOHOE (MD)
NPI
1073806865
Phone
(360) 428-2500
Address
1400 E KINCAID ST
Enumeration Date
26 May 2011
Last Update Date
31 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5094862151
Graduation Year
2010 (16 years ago)
PAC ID
1759521727
Group Practice PAC ID
0648164269
Professional Enrollment ID
I20140827000816
Address ID
WA986209201GO310XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

Provider Addresses for DR. SAMUEL M. DONOHOE (MD)

  • 1400 E KINCAID ST

    ATTN: CREDENTIALING

    MOUNT VERNON, WA 982744127

    Phone: (360) 428-2500

    Fax: (360) 428-6485

    Type: Mailing

  • 1415 E KINCAID ST

    HOSPITALISTS OFFICE

    MOUNT VERNON, WA 982744126

    Phone: (360) 416-5750

    Fax: (360) 416-5758

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140827000816IInternal MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes366153$0
99238Hospital discharge day management, 30 minutes or less104103$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6060$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2711$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648164269View full group profile
NameSpecialtyState
Family Practice, Preventive MedicineNM
Physician AssistantMT
Pain ManagementWA
Nurse PractitionerTN
O P T O M E T R YWA
-WA
Cardiovascular Disease (Cardiology)OR
Internal Medicine, Cardiovascular Disease (Cardiology)OR
Physician AssistantWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do payers reference DR. SAMUEL M. DONOHOE (MD)?
For DR. SAMUEL M. DONOHOE (MD), use NPI 1073806865 as the unique 10-digit identifier.
Is DR. SAMUEL M. DONOHOE (MD) shown as active in public data?
Registry records indicate DR. SAMUEL M. DONOHOE (MD) maintains an active NPI.
What kind of doctor is DR. SAMUEL M. DONOHOE (MD)?
DR. SAMUEL M. DONOHOE (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL M. DONOHOE (MD) located near Mount Vernon?
DR. SAMUEL M. DONOHOE (MD) currently maps to Mount Vernon, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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