DR. SAMUEL J. BOYNTON (MD) – Diagnostic Radiology Physician, NPI 1083827992

DR. SAMUEL J. BOYNTON (MD) is a healthcare provider. based in Olympia, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301088520 (MI). The NPI Number for DR. SAMUEL J. BOYNTON (MD) is 1083827992

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL J. BOYNTON (MD)
NPI
1083827992
Phone
(360) 493-4600
Address
3417 ENSIGN RD NE
Enumeration Date
7 May 2007
Last Update Date
24 May 2018

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2063869699
Graduation Year
2006 (20 years ago)
PAC ID
0648435560
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20161028001659
Address ID
WA981042145SE515XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:19State licenses:4Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. SAMUEL J. BOYNTON (MD)

  • 3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985065064

    Phone: (360) 493-4600

    Fax: (360) 493-4603

    Mailing address matches the actual address.

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: 2016-10-28

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
I20161028001659IDiagnostic RadiologyWATBD

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
71045X-ray of chest, 1 view374353$0
71046X-ray of chest, 2 views217215$0
71250Ct scan of chest without contrast153148$0
74177Ct scan of abdomen and pelvis with contrast117114$0
70450Ct scan head or brain without contrast107107$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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Provider's Procedures

DR. SAMUEL J. BOYNTON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA71250CT scan chest1818
DIAGNOSTIC RADIOLOGYVA74177CT scan of abdomen and pelvis with contrast3232

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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

Can I verify DR. SAMUEL J. BOYNTON (MD) with an NPI only?
You can start verification with NPI 1083827992 for DR. SAMUEL J. BOYNTON (MD), then check state licensing separately.
Is DR. SAMUEL J. BOYNTON (MD) listed as active for patients and plans?
The listing shows DR. SAMUEL J. BOYNTON (MD) as active in the NPI system.
What taxonomy line describes DR. SAMUEL J. BOYNTON (MD)?
For research purposes, treat DR. SAMUEL J. BOYNTON (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. SAMUEL J. BOYNTON (MD) serve?
DR. SAMUEL J. BOYNTON (MD)'s listing highlights Olympia, Washington; more addresses can appear in NPPES.
Why does DR. SAMUEL J. BOYNTON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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