MR. SAMUEL ANTHONY MINAKER M.D.
NPI 1174194955
Ophthalmology in Tyler, TX

Q: What is Samuel Minaker's NPI number?

The NPI number for Samuel Minaker is 1174194955. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Q: What is Samuel Minaker's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Minaker was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 02, 2021PECOS EnrolledAccepts Medicare Assignment

1201 W GRANDE BLVD, TYLER, TX 75703(903) 597-4644(903) 266-9449 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2022, Jul 28, 2021, Jul 2, 2021 (3 updates tracked since 2021).

On this page

About Mr. Samuel Anthony Minaker M.d. NPPES

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

MR. SAMUEL ANTHONY MINAKER M.D. (NPI 1174194955) is an individual ophthalmology provider in Tyler, Texas, licensed in Texas (V9664) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174194955

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMR. SAMUEL ANTHONY MINAKERCredential: M.D.

Location Address1201 W GRANDE BLVDTyler, TX 75703-6124

Mailing Address4539 Cascades Shoreline DrTyler, TX 75709-8902 · (773) 590-9184

Phone(903) 597-4644

Fax(903) 266-9449

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 2, 2021

Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1174194955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in TX · V9664✔ Licensed in IL · 036155679

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License V9664 (TX), 036.155679 (IL)

1201 W GRANDE BLVD, Tyler, TX 75703

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Other Identifiers 1

Medicaid036155679IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Mr. Samuel Anthony Minaker M.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 ID2961806112

PECOS Enrollment IDI20250917000150

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

Medicare enrollment records show Samuel Minaker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harshi Bains Mdpa

Same address

Ophthalmology

1201 W GRANDE BLVD
Tyler, TX 75703

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Harshi Bains MD PA
5 clinicians in this Medicare group

NPI 1275644049 (903) 597-4644

Illinois Retina Associates PLLC

770 mi

Retina Specialist

71 W 156TH ST, STE 400
Harvey, IL 60426

Reassigned Medicare billing, Illinois and Indiana enrollments
20 clinicians in this Medicare group

NPI 1225038870 (708) 596-8710

Eye Center Physicians, Ltd.

784 mi

Ophthalmology

1725 W HARRISON ST, SUITE 906
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1992715650 (312) 942-5315

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

Areas of Expertise CMS Part B claims 19

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

6,060 services32 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.

872 services330 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

455 services145 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

398 services71 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.

284 services172 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

204 services180 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.

182 services153 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.

175 services175 patients

Imaging of retina 92134

135 services89 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

134 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

86 services70 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.

75 services64 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.

65 services65 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

64 services30 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

45 services43 patients

Photography of the retina 92250

20 services19 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

15 services14 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

13 services11 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 4

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

HARSHI BAINS MDPA

Ophthalmology

1201 W GRANDE BLVD
TYLER, TX 75703

Smith County (903) 597-4644

GABRIELA MARIE LAHAIE LUNA M.D.

Ophthalmology

1201 W GRANDE BLVD
TYLER, TX 75703

Smith County (903) 597-4644

DR. HARSHIVINDERJIT SINGH BAINS MD

Ophthalmology

1201 W GRANDE BLVD
TYLER, TX 75703

Smith County (903) 597-4644

AMAR PATEL MD

Ophthalmology

1201 W GRANDE BLVD
TYLER, TX 75703

Smith County (903) 597-4644

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 Minaker's NPI number?

The NPI number for Samuel Minaker is 1174194955. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Samuel Minaker located?

Samuel Minaker practices at 1201 W Grande Blvd, Tyler, TX 75703. The listed phone number is (903) 597-4644.

What is Samuel Minaker's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Samuel Minaker enrolled in Medicare?

Yes. Samuel Minaker 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.

Which organizations bill Medicare for Samuel Minaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Minaker reassigns Medicare benefits to 3 organizations: Harshi Bains Mdpa (Tyler, TX), Illinois Retina Associates PLLC (Harvey, IL) and Eye Center Physicians, Ltd. (Chicago, IL). 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 Samuel Minaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Minaker accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Samuel Minaker 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.

Is Samuel Minaker affiliated with any hospitals?

According to CMS data, Samuel Minaker is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Minaker was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.