DR. SAMUEL TODD BOWMAN (OD) – Optometrist, NPI 1871532754

DR. SAMUEL TODD BOWMAN (OD) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 2264 (FL). The NPI Number for DR. SAMUEL TODD BOWMAN (OD) is 1871532754

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL TODD BOWMAN (OD)
NPI
1871532754
Phone
(904) 280-9000
Address
120 A1A N STE 101
Enumeration Date
6 June 2006
Last Update Date
22 March 2018

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9042809000
Graduation Year
1988 (38 years ago)
PAC ID
3577579382
Group Practice PAC ID
7719031434
Professional Enrollment ID
I20090814000518
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. SAMUEL TODD BOWMAN (OD)

  • 120 A1A N STE 101

    PONTE VEDRA BEACH, FL 320826626

    Phone: (904) 280-9000

    Fax: (904) 280-4448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($109).

Total Amount

$221

General + Research + Ownership

Payments

10

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090814000518IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system318315$0
99213Established patient office or other outpatient visit, 20-29 minutes184100$0
92134Imaging of retina10197$0
92133Imaging of optic nerve5048$0
66984Removal of cataract with insertion of prosthetic lens4020$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719031434View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What NPI should I save for DR. SAMUEL TODD BOWMAN (OD)?
Save NPI 1871532754 if you need a stable reference for DR. SAMUEL TODD BOWMAN (OD).
Is DR. SAMUEL TODD BOWMAN (OD) currently active in the NPI registry?
CMS-published data lists DR. SAMUEL TODD BOWMAN (OD) as an active registrant.
What kind of provider is DR. SAMUEL TODD BOWMAN (OD)?
The page reflects Optometrist for DR. SAMUEL TODD BOWMAN (OD). Clinical services aligned with this taxonomy classification.
Does DR. SAMUEL TODD BOWMAN (OD) practice in Florida?
You will see Ponte Vedra Beach, Florida on file for DR. SAMUEL TODD BOWMAN (OD) alongside any extra practice locations.
How can I contact DR. SAMUEL TODD BOWMAN (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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