JOHN RANDALL SAMPLES – Ophthalmology Physician, NPI 1598717860
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHN RANDALL SAMPLES
11960 Lioness Way
Suite 190
Parker, CO 80134
Phone: (303) 797-1900
Fax: (303) 347-1341
Type: Location
2225 Bayside Pl NE
Olympia, WA 985063259
Phone: (303) 505-0776
Type: Location
215, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985065030
Phone: (360) 456-4800
Fax: (360) 456-4812
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $5,002.
Total Amount is formed as General ($5,002) + Research ($0) + Ownership ($0) = $5,002.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Thea Pharma Inc. ($4,311).
Total Amount
$5,002
General + Research + Ownership
Payments
16
Total payment records
General Amount
$5,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Thea Pharma Inc. | $4,311 |
| ABBVIE INC. | $391 |
| Bausch & Lomb Americas Inc. | $200 |
| Mallinckrodt Hospital Products Inc. | $100 |
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: 2004-11-04
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 |
|---|---|---|---|---|
| I20041104000181 | I | Ophthalmology | OR | TBD |
| I20041104000919 | I | Ophthalmology | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 71 | $0 |
| 92083 | Exam of visual field with extended testing | 52 | 48 | $0 |
| 92133 | Imaging of optic nerve | 41 | 39 | $0 |
Insurance plans in this area (ZIP 80134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR |
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