1. Home
  2. Directory
  3. Maryland
  4. Cumberland
  5. Optometrist
  6. NPI Profile

MADELINE SANTMYIRE
NPI 1093648842
Optometrist in Cumberland, MD

Active since June 03, 2026PECOS Enrolled
2 FREDERICK ST, CUMBERLAND, MD 21502(301) 777-7777 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 4, 2026, Jun 3, 2026 (2 updates tracked since 2026).

About Madeline Santmyire NPPES

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

MADELINE SANTMYIRE (NPI 1093648842) is an individual optometrist in Cumberland, Maryland, licensed in Pennsylvania (OEG004368) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Southern College Of Optometry (2026).

NPPES Registry Identity

NPI1093648842
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMADELINE SANTMYIRE
Location Address2 FREDERICK STCumberland, MD 21502-2652
Mailing Address2 Frederick StCumberland, MD 21502-2652
Phone(301) 777-7777
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2026
Enumeration DateJune 3, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1093648842 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 PA · OEG004368✔ Licensed in MD · TA3154
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.
2 FREDERICK ST, Cumberland, MD 21502
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Fairview StEverett, PA 15537-6337 · Phone (814) 623-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Santmyire is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486127586
PECOS Enrollment IDI20260619001952
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 Reassignments

2

Medicare enrollment records show Madeline Santmyire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifetime Vision Care
Same address
Optometrist
2 FREDERICK ST
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1689449159 (301) 777-7777
Brande Saad Group-Bedford
31 mi
Optometrist
111 FAIRVIEW ST.
Everett, PA 15537
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1891831079 (814) 623-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 7

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

DR. LINDA S HAIDAR O.D.
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777
CUMBERLAND VALLEY RETINA CONSULTANTS
Ophthalmology (Retina Specialist)
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 665-1712
KATELYNN RUTH BAUER OD
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777
JEFFREY ALAN POLAND OD
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777
LIFETIME VISION CARE
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777
DR. BRIAN K MANSPEAKER OD
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777
POLAND EYE CARE ASSOCIATES, PA
Optometrist
2 FREDERICK ST
CUMBERLAND, MD 21502
Allegany County (301) 777-7777

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 Madeline Santmyire's NPI number?

The NPI number for Madeline Santmyire is 1093648842. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Madeline Santmyire located?

Madeline Santmyire practices at 2 Frederick St, Cumberland, MD 21502. The listed phone number is (301) 777-7777.

What is Madeline Santmyire's specialty?

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

Is Madeline Santmyire enrolled in Medicare?

Yes. Madeline Santmyire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madeline Santmyire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Santmyire reassigns Medicare benefits to 2 organizations: Lifetime Vision Care (Cumberland, MD) and Brande Saad Group-Bedford (Everett, PA). 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 Madeline Santmyire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Santmyire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Madeline Santmyire 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 Madeline Santmyire was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.