SAMANTHA JANE THOMPSON (OD) – Optometrist, NPI 1053164525

SAMANTHA JANE THOMPSON (OD) is a healthcare provider. based in Des moines, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 125881 (IA). The NPI Number for SAMANTHA JANE THOMPSON (OD) is 1053164525

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JANE THOMPSON (OD)
NPI
1053164525
Phone
(515) 282-5005
Address
315 E 5TH ST
Enumeration Date
8 April 2024
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
5092257881
Group Practice PAC ID
2769451533
Professional Enrollment ID
I20240607002422
Address ID
IA503221026Ur4660XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for SAMANTHA JANE THOMPSON (OD)

  • 315 E 5TH ST

    DES MOINES, IA 503091916

    Phone: (515) 282-5005

    Type: Location

  • 9104 LONGVIEW DR

    JOHNSTON, IA 501311753

    Phone: (641) 820-1763

    Type: Mailing

  • 4660 86th St

    Urbandale, IA 503221026

    Phone: (515) 727-6340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $836.

Total Amount is formed as General ($836) + Research ($0) + Ownership ($0) = $836.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($264).

Total Amount

$836

General + Research + Ownership

Payments

20

Total payment records

General Amount

$836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

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: 2024-06-07

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
I20240607002422IOptometryIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50309)

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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: 2769451533View full group profile
NameSpecialtyState
O P T O M E T R YIA

Reviews

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Frequently asked questions

What federal number belongs to SAMANTHA JANE THOMPSON (OD)?
The federal identifier for SAMANTHA JANE THOMPSON (OD) is NPI 1053164525.
Is SAMANTHA JANE THOMPSON (OD)'s NPI currently valid?
The extract we use shows SAMANTHA JANE THOMPSON (OD) as active.
Can you summarize SAMANTHA JANE THOMPSON (OD)'s specialty in plain language?
Clinically, the directory lists SAMANTHA JANE THOMPSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place SAMANTHA JANE THOMPSON (OD)?
The snapshot lists Des Moines, Iowa for SAMANTHA JANE THOMPSON (OD); download NPPES for the complete set.
Is SAMANTHA JANE THOMPSON (OD) a real provider?
This page reflects official NPPES data for NPI 1053164525. Always confirm identity and privileges with the practice and licensing boards.

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