SAMUEL VALLEY OD, PHARMD
NPI 1235640871
Optometrist in Bangor, ME
About Samuel Valley Od, Pharmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL VALLEY OD, PHARMD (NPI 1235640871) is an individual optometrist in Bangor, Maine, licensed in Maine (OPT1060) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Samuel Valley Od, Pharmd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Valley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 3 clinicians in this Medicare group
Old Town, ME 04468
- Reassigned Medicare billing, Maine enrollment
- 3 clinicians in this Medicare group
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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BANGOR, ME 04401
BANGOR, ME 04401
BANGOR, ME 04401
BANGOR, ME 04401
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 Valley's NPI number?
The NPI number for Samuel Valley is 1235640871. It was assigned to this individual provider in the NPPES registry on October 23, 2017.
Where is Samuel Valley located?
Samuel Valley practices at 766 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 945-5891.
What is Samuel Valley's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samuel Valley enrolled in Medicare?
Yes. Samuel Valley 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 Valley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Valley reassigns Medicare benefits to 2 organizations: Sjv, PLLC (Bangor, ME) and Gaetani Eye Care Associates, PA (Old Town, ME). 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 Valley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Valley accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Providence Health Plan list Samuel Valley 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 Valley was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samuel Valley, OD, PHARMD · NPI 1235640871
Optometrist provider in Bangor, Maine. Individual provider, active in the CMS NPPES registry since October 23, 2017.
## Identity
- **NPI:** 1235640871 (Entity type: Individual)
- **Enumerated:** October 23, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT1060 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 766 STILLWATER AVE, Bangor, ME 04401-3616
- **Phone:** (207) 945-5891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sjv, PLLC (NPI 1689366734, Bangor, ME); Gaetani Eye Care Associates, PA (NPI 1356483846, Old Town, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2022
## Record status
- **NPPES last updated:** December 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235640871) · Data from the CMS NPPES public registry.