SAMUEL HOMRA – Ophthalmology Physician, NPI 1003319062

SAMUEL HOMRA is a healthcare provider. based in Louisville, Kentucky. specializing in OPHTHALMOLOGY. They hold a License No. ME166466 (FL). The NPI Number for SAMUEL HOMRA is 1003319062

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL HOMRA
NPI
1003319062
Phone
Not provided
Address
500 S PRESTON ST RM 305
Enumeration Date
15 March 2018
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
9544529922
Graduation Year
2021 (5 years ago)
PAC ID
7517389489
Group Practice PAC ID
7012156144
Professional Enrollment ID
I20240710002052
Address ID
FL333225223PL1776XRDXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

284 OPHTHALMOLOGY in KY

Provider Addresses for SAMUEL HOMRA

  • 500 S PRESTON ST RM 305

    LOUISVILLE, KY 402021702

    Phone:

    Type: Mailing

  • 1776 N PINE ISLAND RD STE 214

    PLANTATION, FL 333225223

    Phone: (954) 452-9922

    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 $596.

Total Amount is formed as General ($596) + Research ($0) + Ownership ($0) = $596.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($285).

Total Amount

$596

General + Research + Ownership

Payments

16

Total payment records

General Amount

$596

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2024-07-10

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
I20240710002052IOphthalmologyFLTBD

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 40202)

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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: 7012156144View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does SAMUEL HOMRA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMUEL HOMRA uses 1003319062.
Can I rely on SAMUEL HOMRA being an active provider?
As of the registry snapshot, SAMUEL HOMRA is marked active.
What is SAMUEL HOMRA's primary classification?
Ophthalmology Physician is the headline specialty for SAMUEL HOMRA here. Clinical services aligned with this taxonomy classification.
Where should I expect SAMUEL HOMRA on a map?
Expect Louisville, Kentucky as a primary anchor for SAMUEL HOMRA unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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