DR. SAMANTHA MARIE BURRILL (OD) – Optometrist, NPI 1265026470

DR. SAMANTHA MARIE BURRILL (OD) is a healthcare provider. based in South portland, Maine. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT1038 (ME). The NPI Number for DR. SAMANTHA MARIE BURRILL (OD) is 1265026470

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA MARIE BURRILL (OD)
NPI
1265026470
Phone
(207) 799-3031
Address
743 BROADWAY
Enumeration Date
28 February 2021
Last Update Date
28 February 2021

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2077993031
Graduation Year
2020 (6 years ago)
PAC ID
7012324122
Group Practice PAC ID
5092882068
Professional Enrollment ID
I20210407001224
Address ID
ME041064419SO743XXBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

Provider Addresses for DR. SAMANTHA MARIE BURRILL (OD)

  • 743 BROADWAY

    SOUTH PORTLAND, ME 041064419

    Phone: (207) 799-3031

    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 8 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$156

General + Research + Ownership

Payments

8

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2021-04-07

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
I20210407001224IOptometryMETBD

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
92014Established patient complete exam of visual system7171$0
92012Established patient problem focused exam of visual system2824$0
92004New patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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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: 5092882068View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SAMANTHA MARIE BURRILL (OD)?
DR. SAMANTHA MARIE BURRILL (OD) — NPI 1265026470 — is the standard way to identify this listing.
Does CMS list DR. SAMANTHA MARIE BURRILL (OD) as active?
Yes — DR. SAMANTHA MARIE BURRILL (OD) is active in the NPI listing used on this page.
What is DR. SAMANTHA MARIE BURRILL (OD)'s primary classification?
Optometrist is the headline specialty for DR. SAMANTHA MARIE BURRILL (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SAMANTHA MARIE BURRILL (OD) on a map?
Expect South Portland, Maine as a primary anchor for DR. SAMANTHA MARIE BURRILL (OD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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