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DR. SAMUEL HEBER KIMBALL OD
NPI 1144458860
Optometrist in La Grande, OR

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
1502 N PINE ST, LA GRANDE, OR 97850(541) 963-3788(541) 963-3091 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Heber Kimball Od NPPES

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

DR. SAMUEL HEBER KIMBALL OD (NPI 1144458860) is an individual optometrist in La Grande, Oregon, licensed in Oregon (3311AT) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2009).

NPPES Registry Identity

NPI1144458860
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL HEBER KIMBALLCredential: OD
Location Address1502 N PINE STLa Grande, OR 97850-3543
Mailing Address1502 N Pine St, Ste 3La Grande, OR 97850-3543 · (541) 963-3788 · Fax (541) 963-3091
Phone(541) 963-3788
Fax(541) 963-3091
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateDecember 6, 2018
✔ NPI 1144458860 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 OR · 3311AT
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.
1502 N PINE ST, La Grande, OR 97850
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Heber Kimball 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 ID4385796382
PECOS Enrollment IDI20090722000755
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 8

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.
368 services367 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.
200 services152 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.
129 services79 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).
103 services99 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.
79 services67 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
58 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier29 claims29 services$46.50 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier34 claims68 services$47.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. DAVID KRISTOPHER GLABE O.D., M.S.
Optometrist
1502 N PINE ST, #3
LA GRANDE, OR 97850
Union County (541) 963-3788
THOMAS D MILLER CHIROPRACTIC LLC
Chiropractor
1502 N PINE ST, SUITE 1
LA GRANDE, OR 97850
Union County (541) 963-7432
LA GRANDE FAMILY EYE CARE
Eyewear Supplier
1502 N PINE ST
LA GRANDE, OR 97850
Union County (541) 963-3788
DR. THOMAS DARRELL MILLER DC
Chiropractor
1502 N PINE ST, SUITE 1
LA GRANDE, OR 97850
Union County (541) 963-7432
ELISHA MAYES, DDS, PC
Dentist
1502 N PINE ST, SUITE 2
LA GRANDE, OR 97850
Union County (541) 963-8585

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 Kimball's NPI number?

The NPI number for Samuel Kimball is 1144458860. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Samuel Kimball located?

Samuel Kimball practices at 1502 N Pine St, La Grande, OR 97850. The listed phone number is (541) 963-3788.

What is Samuel Kimball's specialty?

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

Is Samuel Kimball enrolled in Medicare?

Yes. Samuel Kimball 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 Kimball accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Samuel Kimball 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 Kimball was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.