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DR. SAMUEL JAMES MENEI O.D.
NPI 1134578461
Optometrist in Middletown, DE

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
223 E MAIN ST, MIDDLETOWN, DE 19709(302) 376-4190(302) 376-5644 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2018, Mar 3, 2017, Jul 12, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Samuel James Menei O.d. NPPES

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

DR. SAMUEL JAMES MENEI O.D. (NPI 1134578461) is an individual optometrist in Middletown, Delaware, licensed in Delaware (I3-0001393) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2016).

NPPES Registry Identity

NPI1134578461
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL JAMES MENEICredential: O.D.
Location Address223 E MAIN STMiddletown, DE 19709-1449
Mailing Address128 W Flagstone DrNewark, DE 19702-3647 · (302) 312-9725
Phone(302) 376-4190
Fax(302) 376-5644
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateFebruary 27, 20184 updates tracked since enumeration
✔ NPI 1134578461 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 DE · I3-0001393✔ Licensed in PA · OEG003188✔ Licensed in NJ · 27OA00667000
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.
223 E MAIN ST, Middletown, DE 19709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 James Menei 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 ID8123303393
PECOS Enrollment IDI20170330001882
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 5

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 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.
115 services102 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.
58 services58 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.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
95%21 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. JUNG HA PARK O.D.
Optometrist
223 E MAIN ST
MIDDLETOWN, DE 19709
New Castle County (302) 376-1900
MYEYEDR OPTOMETRY OF DELAWARE PA
Optometrist
223 E MAIN ST
MIDDLETOWN, DE 19709
New Castle County (302) 376-1900
MYEYEDR.
Optometrist
223 E MAIN ST
MIDDLETOWN, DE 19709
New Castle County (302) 376-1900
HALPERN MEDICAL SERVICES LLC
Ophthalmology
223 E MAIN ST
MIDDLETOWN, DE 19709
New Castle County (302) 678-1700

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 Menei's NPI number?

The NPI number for Samuel Menei is 1134578461. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Samuel Menei located?

Samuel Menei practices at 223 E Main St, Middletown, DE 19709. The listed phone number is (302) 376-4190.

What is Samuel Menei's specialty?

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

Is Samuel Menei enrolled in Medicare?

Yes. Samuel Menei 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 Menei accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 8 other insurers list Samuel Menei 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 Menei was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.