SAMANTHA LIN JENNINGS (OD) – Optometrist, NPI 1730741273
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
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Provider Addresses for SAMANTHA LIN JENNINGS (OD)
1200, West Godfrey Avenue, Fern Rock, Philadelphia, Philadelphia County, Pennsylvania, 19141, United States
PHILADELPHIA, PA 191413323
Phone: (215) 276-6000
Fax: (215) 276-1329
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 29 Open Payments records for all available years, with a total value of $1,126.
Total Amount is formed as General ($1,126) + Research ($0) + Ownership ($0) = $1,126.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Alcon Vision LLC ($710).
Total Amount
$1,126
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,126
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
| Company | Amount |
|---|---|
| Alcon Vision LLC | $710 |
| Bausch & Lomb Americas Inc. | $167 |
| Oyster Point Pharma, Inc. | $78 |
| CooperVision Inc. | $71 |
| Johnson & Johnson Vision Care, Inc. | $31 |
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: 2019-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190731000893 | I | Optometry | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 92134 | Imaging of retina | 17 | 14 | $0 |
| 92083 | Exam of visual field with extended testing | 14 | 12 | $0 |
| 92133 | Imaging of optic nerve | 13 | 13 | $0 |
Insurance plans in this area (ZIP 19141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| - | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | NY | |
| - | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA |
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