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SAMANTHA JO KNOBLAUCH OD
NPI 1063257269
Optometrist in Kansas City, MO

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment
9401 N OAK TRFY STE 124, KANSAS CITY, MO 64155(816) 478-1230(816) 350-6801 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Samantha Jo Knoblauch Od NPPES

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

SAMANTHA JO KNOBLAUCH OD (NPI 1063257269) is an individual optometrist in Kansas City, Missouri, licensed in Missouri (2024023446) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063257269
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAMANTHA JO KNOBLAUCHCredential: OD
Location Address9401 N OAK TRFY STE 124Kansas City, MO 64155-3393
Mailing Address1660 Genessee St Unit 506Kansas City, MO 64102-1146 · (316) 670-3763
Phone(816) 478-1230
Fax(816) 350-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1063257269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2024023446
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.
9401 N OAK TRFY STE 124, Kansas City, MO 64155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.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 Jo Knoblauch 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.

PECOS PAC ID7810436078
PECOS Enrollment IDI20240831000475, I20240919001029
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Knoblauch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Care LLC
20 mi
Ophthalmology
4741 S COCHISE DR
Independence, MO 64055
  • Reassigned Medicare billing, Missouri and Kansas enrollments
  • Also billed through NPI 1881884211 (Kansas)
  • 57 clinicians in this Medicare group
NPI 1750374567 (816) 478-1230

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 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.

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.
41 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services22 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64155 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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 Knoblauch's NPI number?

The NPI number for Samantha Knoblauch is 1063257269. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Samantha Knoblauch located?

Samantha Knoblauch practices at 9401 N Oak Trfy Ste 124, Kansas City, MO 64155. The listed phone number is (816) 478-1230.

What is Samantha Knoblauch's specialty?

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

Is Samantha Knoblauch enrolled in Medicare?

Yes. Samantha Knoblauch 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 organization bills Medicare for Samantha Knoblauch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Knoblauch reassigns Medicare benefits to Eye Care LLC (Independence, MO). The 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 Knoblauch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Knoblauch accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Samantha Knoblauch 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 Knoblauch was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.