SAMUEL SHELTON KILLION (OD) – Optometrist, NPI 1285366310
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for SAMUEL SHELTON KILLION (OD)
2421 Corporate Ctr Ste 102
Granite City, IL 620404195
Phone: (618) 931-6980
Type: Location
1272 Town and Country Crossing Dr
Chesterfield, MO 630170605
Phone: (636) 591-0246
Type: Location
12 Professional Park Dr
Maryville, IL 620625672
Phone: (618) 288-7266
Type: Location
4900 W Main St
Belleville, IL 622264725
Phone: (618) 235-2400
Type: Location
1310 Dadrian Professional Park
Godfrey, IL 620351685
Phone: (618) 433-5005
Type: Location
3990 N Illinois St
Swansea, IL 622261919
Phone: (618) 277-1130
Type: Location
111 W Lincoln St
Belleville, IL 622202019
Phone: (618) 234-1774
Type: Location
Msc 8411
Nashville, TN 37241
Phone: (636) 200-4393
Type: Location
5904 ENRIGHT AVE APT 502
SAINT LOUIS, MO 631122064
Phone: (417) 379-2290
Type: Mailing
PO BOX 415000
NASHVILLE, TN 372415000
Phone: (636) 200-4393
Type: Mailing
915 N GRAND BLVD
SAINT LOUIS, MO 631061621
Phone: (314) 652-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $622.
Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($184).
Total Amount
$622
General + Research + Ownership
Payments
14
Total payment records
General Amount
$622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $184 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $176 |
| Alcon Vision LLC | $75 |
| Bausch & Lomb Americas Inc. | $67 |
| CooperVision Inc. | $63 |
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: 2023-10-12
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 |
|---|---|---|---|---|
| I20231012001241 | I | Optometry | IL | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 34 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 92004 | New patient complete exam of visual system | 15 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 12 | $0 |
| 92134 | Imaging of retina | 13 | 13 | $0 |
Insurance plans in this area (ZIP 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | IL |
Reviews
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