Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Moulton, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1043744527

Dr. Samuel Moulton, MD is an Orthopedic Surgery in Issaquah, Washington. Graduated from Oregon Health Sciences University School of Medicine in 2017, 9 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
9
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

510 8th Ave NE Ste 200
Issaquah, WA 98029-5436
Phone: (425) 392-3030
Fax: (425) 392-2564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3101 Northup Way Ste 201, Bellevue, WA 98004-1449 — (425) 455-3600
  • 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 — (425) 455-3600
  • 515 Minor Ave Ste 200, Seattle, WA 98104-2133 — (425) 455-3600

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD61435678 (WA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD61435678 (WA)

Record details

NPI number1043744527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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