DR. SAMUEL R II HARGUS (O.D.) – Optometrist, NPI 1548666076
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
700 OPTOMETRY in KY
Provider Addresses for DR. SAMUEL R II HARGUS (O.D.)
15933 CLAYTON RD STE 210
BALLWIN, MO 630112172
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
544 CONESTOGA PKWY STE 17
SHEPHERDSVILLE, KY 401655677
Phone: (502) 955-2020
Fax: (502) 736-4488
Type: Location
1483 S DIXIE ST
HORSE CAVE, KY 427491457
Phone: (270) 786-2085
Fax: (270) 786-1215
Type: Mailing
1483 S Dixie St
Horse Cave, KY 427491457
Phone: (270) 786-2085
Fax: (270) 786-1215
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($253).
Total Amount
$395
General + Research + Ownership
Payments
5
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $253 |
| LKC Technologies, Inc. | $128 |
| CooperVision Inc. | $13 |
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: 2025-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150729010083 | I | Optometry | KY | TBD |
| I20250826000898 | I | Optometry | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,348 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 21 | $0 |
| 92004 | New patient complete exam of visual system | 21 | 21 | $0 |
| 92014 | Established patient complete exam of visual system | 19 | 19 | $0 |
Insurance plans in this area (ZIP 63011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | KY | 92083 | Measurement of field of vision during daylight conditions | 122 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OH | |
| - | OH | |
| - | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | TX |
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