DR. SAMUEL JEFFREY CARPENTIER (MD, PHD) – Ophthalmology Physician, NPI 1194344010
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
396 OPHTHALMOLOGY in CO
Provider Addresses for DR. SAMUEL JEFFREY CARPENTIER (MD, PHD)
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
13001 EAST 17TH PLACE
AURORA, CO 800452581
Phone: (303) 724-1784
Type: Mailing
WAKE FOREST SCHOOL OF MEDICINE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 271570001
Phone: (336) 716-4091
Type: Mailing
PO BOX 22009
PORTLAND, OR 972692009
Phone: (503) 558-7372
Fax: (503) 344-5140
Type: Mailing
2318 E PORTLAND RD STE 300
NEWBERG, OR 971321374
Phone: (503) 538-1341
Fax: (503) 538-1343
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Genentech, Inc. ($150).
Total Amount
$240
General + Research + Ownership
Payments
5
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech, Inc. | $150 |
| Alcon Vision LLC | $40 |
| Johnson & Johnson Surgical Vision, Inc. | $29 |
| RxSight Inc | $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: 2024-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240701003949 | I | Ophthalmology | OR | 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 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | CA | |
| - | OR | |
| O P H T H A L M O L O G Y | OR | |
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| O P H T H A L M O L O G Y | OR |
Reviews
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