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DR. SAMUEL HARVEY HORNER III O.D.
NPI 1164412102
Optometrist - Corneal and Contact Management in Cleveland, TN

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
40 2ND ST NW, CLEVELAND, TN 37311(423) 476-5341(423) 472-0321 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Harvey Horner Iii O.d. NPPES

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

DR. SAMUEL HARVEY HORNER III O.D. (NPI 1164412102) is an individual corneal and contact management provider in Cleveland, Tennessee, licensed in Tennessee (000963) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1987).

NPPES Registry Identity

NPI1164412102
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. SAMUEL HARVEY HORNER IIICredential: O.D.
Location Address40 2ND ST NWCleveland, TN 37311-5009
Mailing Address40 2nd St NwCleveland, TN 37311-5009 · (423) 476-5341 · Fax (423) 472-0321
Phone(423) 476-5341
Fax(423) 472-0321
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1987
Enumeration DateOctober 21, 2005
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1164412102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in TN · 000963
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

40 2ND ST NW, Cleveland, TN 37311
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Other Identifiers 5

Other113503TN · Blue Cross Blue Shield
Medicaid113503TN
Medicare PIN35958911TN
Medicare NSC0187490001TN
Other602003553TN · Cariten Sr.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Harvey Horner Iii 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 ID7113014309
PECOS Enrollment IDI20071105000454
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 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.
53 services53 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.
21 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 Samuel Horner's NPI number?

The NPI number for Samuel Horner is 1164412102. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Samuel Horner located?

Samuel Horner practices at 40 2nd St NW, Cleveland, TN 37311. The listed phone number is (423) 476-5341.

What is Samuel Horner's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Samuel Horner enrolled in Medicare?

Yes. Samuel Horner 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 Horner accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Samuel Horner 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 Horner was last updated on September 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.