SAMUEL R CALVERT – Optometrist, NPI 1649968918

SAMUEL R CALVERT is a healthcare provider. based in Bowling green, Kentucky. specializing in OPTOMETRY. They hold a License No. OPC6260 (FL). The NPI Number for SAMUEL R CALVERT is 1649968918

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL R CALVERT
NPI
1649968918
Phone
(270) 606-0269
Address
335 NEW TOWNE DR
Enumeration Date
25 April 2023
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708420383
Graduation Year
2023 (3 years ago)
PAC ID
9537520374
Group Practice PAC ID
7517986722
Professional Enrollment ID
I20241015003996
Address ID
KY421037966BO335XXRDXX400
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 SAMUEL R CALVERT

  • 335 NEW TOWNE DR

    BOWLING GREEN, KY 421037966

    Phone: (270) 606-0269

    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 22 Open Payments records for all available years, with a total value of $1,464.

Total Amount is formed as General ($1,464) + Research ($0) + Ownership ($0) = $1,464.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($213).

Total Amount

$1,464

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230726003704IOptometryFLTBD
I20241015003996IOptometryKYTBD

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 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 42103)

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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: 7517986722View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YTN
O P T O M E T R YKY
-KY
O P T O M E T R YKY

Reviews

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Frequently asked questions

Is SAMUEL R CALVERT listed with a National Provider Identifier?
Yes — SAMUEL R CALVERT has NPI 1649968918 on file in the registry.
Is SAMUEL R CALVERT shown as active in public data?
Registry records indicate SAMUEL R CALVERT maintains an active NPI.
What expertise is attributed to SAMUEL R CALVERT?
SAMUEL R CALVERT's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMUEL R CALVERT?
Travel planning: use Bowling Green, Kentucky as the reference point for SAMUEL R CALVERT, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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