Active NPI
Samuel Welling Beckstead, DO
- Ophthalmology Physician
- Chubbuck, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- O-1389
- Practice address
- 5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061 - Phone
- (208) 232-4133
- Fax
- (208) 529-6602
- NPI assigned
- Apr 20, 2015
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | O-1389 | ID | |
| Ophthalmology Physician | 207W00000X | O-1389 | ID | Primary |
Addresses
Primary practice location
5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061
Mailing address
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (082) 529-6600
Other practice location 1
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600
Hospital & facility affiliations
- Idaho Falls Community Hospital, LLC
- Portneuf Medical Center
- Mountain View Hospital
- Bingham Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.96 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.54
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 94 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1389 | ID | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eye Care of Eastern Idaho | Multi-Specialty | Current | Accepting new patients |
| Charles P. Lawless, M.D., P.a. | Multi-Specialty | Past | Accepting new patients |
Locations
5620 Harvest Springs Blvd
Chubbuck, ID 83202
Phone (208) 232-4133
2100 Providence Way
Idaho Falls, ID 83404
Phone (208) 529-6600
1777 E Clark St
Ste 310
Pocatello, ID 83201
Phone (208) 232-4133
Interoperability endpoints
- sbeckstead354566@ahs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Idaho Falls, ID
- NPI 1790052603
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Rexburg, ID
- NPI 1235768490
-
dba Walt's Optical Shop
- Specialist
- Pocatello, ID
- NPI 1629280359
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1487041380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 PROVIDENCE WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044951",
"telephone_number": "082-529-6600",
"fax_number": "208-529-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 HARVEST SPRINGS BLVD",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832021061",
"telephone_number": "208-232-4133",
"fax_number": "208-529-6602"
}
],
"practiceLocations": [
{
"address_1": "2100 Providence Way",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834044951",
"country_code": "US",
"telephone_number": "208-529-6600",
"fax_number": "208-529-6602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKSTEAD",
"first_name": "SAMUEL",
"middle_name": "WELLING",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "ID",
"license": "O-1389",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "ID",
"license": "O-1389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.