DR. SAMANTHA A DODDA OD
NPI 1104443720
Optometrist in Chicago, IL

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
95.06/100
CMS Quality Rating
3241 S MICHIGAN AVE, CHICAGO, IL 60616(312) 225-6200(312) 949-7617 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2023, Dec 29, 2021, Jun 30, 2020 (3 updates tracked since 2020).

About Dr. Samantha A Dodda Od NPPES

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

DR. SAMANTHA A DODDA OD (NPI 1104443720) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046011752) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2020).

NPPES Registry Identity

NPI1104443720
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMANTHA A DODDACredential: OD
Location Address3241 S MICHIGAN AVEChicago, IL 60616
Mailing Address744 E 3rd StBloomington, IN 47405-3603 · (812) 855-8436
Fax(312) 949-7617
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2020
Enumeration DateJune 30, 2020
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1104443720 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 IL · 046011752 Licensed in CA · 34826
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.

3241 S MICHIGAN AVE, Chicago, IL 60616

Secondary Practice Locations 2

Location 1744 E 3rd StBloomington, IN 47405-3603 · Phone (812) 855-8436
Location 22080 Century Park E Ste 911Los Angeles, CA 90067-2012 · Phone (310) 229-1220 · Fax (310) 229-1222

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. Samantha A Dodda 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 ID1052734464
PECOS Enrollment IDI20230831000626
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 7

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.
59 services59 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.
41 services32 patients
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.
30 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
28 services25 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services16 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.13
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616
Optometrist
3241 S MICHIGAN AVE
CHICAGO, IL 60616

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 Dodda's NPI number?

The NPI number for Samantha Dodda is 1104443720. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Samantha Dodda located?

Samantha Dodda practices at 3241 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 225-6200.

What is Samantha Dodda's specialty?

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

Is Samantha Dodda enrolled in Medicare?

Yes. Samantha Dodda 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 Samantha Dodda accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Samantha Dodda 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 Dodda was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.