SAMANTHA JANE DETAR OD
NPI 1053164525
Optometrist in Des Moines, IA
About Samantha Jane Detar Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JANE DETAR OD (NPI 1053164525) is an individual optometrist in Des Moines, Iowa, licensed in Iowa (125881) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Urbandale, and is a graduate of Southern College Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Jane Detar Od 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.
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Detar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Des Moines, IA 50309
- Reassigned Medicare billing, Iowa enrollment
- 3 clinicians in this Medicare group
Urbandale, IA 50322
- Reassigned Medicare billing, Iowa enrollment
- Medicare enrollment name: Advanced Eyecare Center P C
- 2 clinicians in this Medicare group
Ankeny, IA 50023
- Reassigned Medicare billing, Iowa enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Detar's NPI number?
The NPI number for Samantha Detar is 1053164525. It was assigned to this individual provider in the NPPES registry on April 8, 2024. The provider is also known as Samantha Jane Thompson Od.
Where is Samantha Detar located?
Samantha Detar practices at 315 E 5th St, Des Moines, IA 50309. The listed phone number is (515) 282-5005.
What is Samantha Detar's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samantha Detar enrolled in Medicare?
Yes. Samantha Detar 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.
Which organizations bill Medicare for Samantha Detar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Detar reassigns Medicare benefits to 3 organizations: Westrum Optometry Plc (Des Moines, IA), Advanced Eyecare Center, PC (Urbandale, IA) and Shoptikal LLC (Ankeny, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Detar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Detar accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Samantha Detar 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 Samantha Detar was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Jane Detar, OD · NPI 1053164525
Optometrist provider in Des Moines, Iowa. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1053164525 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 125881 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 E 5TH ST, Des Moines, IA 50309-1916
- **Phone:** (515) 282-5005
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Westrum Optometry Plc (NPI 1548347255, Des Moines, IA); Advanced Eyecare Center, PC (NPI 1619145281, Urbandale, IA); Shoptikal LLC (NPI 1518637610, Ankeny, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2024
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053164525) · Data from the CMS NPPES public registry.