DR. MIA SAMANTHA TAYLOR (OD) – Optometrist, NPI 1497487102

DR. MIA SAMANTHA TAYLOR (OD) is a healthcare provider. based in London, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2292DT (KY). The NPI Number for DR. MIA SAMANTHA TAYLOR (OD) is 1497487102

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIA SAMANTHA TAYLOR (OD)
NPI
1497487102
Phone
(423) 507-3706
Address
1652 HAMPTON RD APT 3
Enumeration Date
30 June 2022
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8652442020
Graduation Year
2022 (4 years ago)
PAC ID
9133501471
Group Practice PAC ID
0941278709
Professional Enrollment ID
I20230614002098
Address ID
TN379201508KN1932XHWYX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for DR. MIA SAMANTHA TAYLOR (OD)

  • 1652 HAMPTON RD APT 3

    LONDON, KY 407412653

    Phone: (423) 507-3706

    Type: Mailing

  • 503 N MAIN ST

    LONDON, KY 407411217

    Phone: (606) 877-1877

    Type: Location

  • 1932 ALCOA HWY STE 255

    KNOXVILLE, TN 379201508

    Phone: (865) 244-2030

    Fax: (865) 410-7292

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,283.

Total Amount is formed as General ($1,283) + Research ($0) + Ownership ($0) = $1,283.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($308).

Total Amount

$1,283

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-06-14

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
I20230614002098IOptometryTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7262$0
92134Imaging of retina4241$0
92012Established patient problem focused exam of visual system4030$0
99214Established patient office or other outpatient visit, 30-39 minutes4038$0
92014Established patient complete exam of visual system3332$0
View full utilization report →

Insurance plans in this area (ZIP 40741)

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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: 0941278709View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
-TN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YKY

Reviews

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Frequently asked questions

Is there an official ID for DR. MIA SAMANTHA TAYLOR (OD) in U.S. healthcare records?
The official identifier for DR. MIA SAMANTHA TAYLOR (OD) is NPI 1497487102.
Would DR. MIA SAMANTHA TAYLOR (OD) appear as active to a payer?
You can treat DR. MIA SAMANTHA TAYLOR (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MIA SAMANTHA TAYLOR (OD)'s focus?
For DR. MIA SAMANTHA TAYLOR (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MIA SAMANTHA TAYLOR (OD) located near London?
DR. MIA SAMANTHA TAYLOR (OD) currently maps to London, Kentucky in this extract.
Does DR. MIA SAMANTHA TAYLOR (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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