DR. SAMUEL EDWARD ADELMAN O.D.
NPI 1043545122
Optometrist in Happy Valley, OR

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
11800 SE 82ND AVE, HAPPY VALLEY, OR 97086(503) 660-3093(503) 654-5429 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Edward Adelman O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL EDWARD ADELMAN O.D. (NPI 1043545122) is an individual optometrist in Happy Valley, Oregon, licensed in Oregon (3462ATI) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1043545122
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL EDWARD ADELMANCredential: O.D.
Location Address11800 SE 82ND AVEHappy Valley, OR 97086-7711
Mailing AddressPo Box 86221Portland, OR 97286-0221 · (971) 263-0495 · Fax (503) 654-5429
Fax(503) 654-5429
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateOctober 7, 2009
Last NPPES UpdateJanuary 31, 2013
NPI 1043545122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · 3462ATI Licensed in WA · OD 60290877
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11800 SE 82ND AVE, Happy Valley, OR 97086

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Edward Adelman O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688898059
PECOS Enrollment IDI20140605001592
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
11800 SE 82ND AVE
HAPPY VALLEY, OR 97086
Hearing Instrument Specialist
11800 SE 82ND AVE
HAPPY VALLEY, OR 97086
Optometrist
11800 SE 82ND AVE
PORTLAND, OR 97086
Optometrist
11800 SE 82ND AVE
HAPPY VALLEY, OR 97086
Optometrist
11800 SE 82ND AVE
HAPPY VALLEY, OR 97086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Adelman's NPI number?

The NPI number for Samuel Adelman is 1043545122. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Samuel Adelman located?

Samuel Adelman practices at 11800 SE 82nd Ave, Happy Valley, OR 97086. The listed phone number is (503) 660-3093.

What is Samuel Adelman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Samuel Adelman enrolled in Medicare?

Yes. Samuel Adelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Adelman accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Adelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Adelman was last updated on January 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.