DR. SAMUEL DOAK III YOUNG (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1811003593
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SAMUEL DOAK III YOUNG (MD)
620 John Paul Jones Cir
Portsmouth, VA 237082111
Phone: (757) 953-5000
Type: Location
2509 Pleasant Run Dr
Harrisonburg, VA 228018720
Phone: (540) 689-5500
Type: Location
1144 N Road St Ste 100
Elizabeth City, NC 279093473
Phone: (252) 384-2360
Type: Location
422 Hamilton Blvd
South Boston, VA 245925200
Phone: (434) 572-4074
Type: Location
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone: (757) 953-5000
Type: Mailing
2080 CHILD ST
JACKSONVILLE, FL 322145005
Phone: (904) 542-7679
Type: Mailing
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282602148
Phone: (980) 212-6250
Fax: (980) 212-6251
Type: Mailing
441, McAlister Road, Goodsonville, Lincolnton, Lincoln County, North Carolina, 28092, United States
SUITE 1100A
LINCOLNTON, NC 280924126
Phone: (980) 212-6250
Fax: (980) 212-6251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-03-30 • Largest payer in this snapshot: Team 1, Llc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Team 1, Llc | $21 |
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: 2014-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131213000893 | I | Orthopedic Surgery | VA | TBD |
| I20140508000773 | I | Orthopedic Surgery | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23708)
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Reviews
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