SAMUEL HIGGINS BARRY MD
NPI 1275039877
Ophthalmology in Danville, IL

Q: What is Samuel Barry's NPI number?

The NPI number for Samuel Barry is 1275039877. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Samuel Barry'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 Barry was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 03, 2018PECOS EnrolledAccepts Medicare Assignment

75.65/100

CMS Quality Rating

1104 N VERMILION ST, DANVILLE, IL 61832(217) 442-2631(217) 442-0119 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2023, May 26, 2022 (2 updates tracked since 2022).

On this page

About Samuel Higgins Barry Md NPPES

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

SAMUEL HIGGINS BARRY MD (NPI 1275039877) is an individual ophthalmology provider in Danville, Illinois, licensed in Illinois (036173314) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Osf Sacred Heart Medical Center, and is a graduate of Tulane University School Of Medicine (2014).

NPPES Registry Identity

NPI1275039877

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSAMUEL HIGGINS BARRYCredential: MD

Location Address1104 N VERMILION STDanville, IL 61832-3094

Mailing Address1104 N Vermilion StDanville, IL 61832-3094 · (217) 442-2631 · Fax (217) 442-0119

Phone(217) 442-2631

Fax(217) 442-0119

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2014

Enumeration DateApril 3, 2018

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1275039877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in IL · 036173314✔ Licensed in MD · D0093855✔ Licensed in MO · 2023012406

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.

1104 N VERMILION ST, Danville, IL 61832

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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 Health, Ambetter Health of Delaware 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

Samuel Higgins Barry Md 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 ID648659151

PECOS Enrollment IDI20250121002364

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 12

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 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.

156 services110 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.

118 services118 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

110 services55 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.

101 services60 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

88 services86 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.

77 services77 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.

69 services69 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

64 services43 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).

20 services19 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.

18 services17 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

17 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140093

Location812 N Logan AveDanville, IL 61832 · Vermilion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

75.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.95

Promoting Interoperability

Improvement Activities

Cost

28.06

Other Providers at the Same Location NPPES 11

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

JAMES B KELLEY O.D.

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

JOHN EVERD BROTHERS O.D.

Optometrist

1104 N VERMILION ST, CHITTICK FAMILY EYE CARE
DANVILLE, IL 61832

Vermilion County (217) 442-2631

DR. PUNEET SINGH BRAICH M.D., M.P.H.

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

DR. KELLY ANN KISER MD

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

CHITTICK FAMILY EYE CARE LTD

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 398-2020

MAXWELL PROSSER OD

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 398-2020

KATHERINE LORETTA MURPHY DUNNE O.D.

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

COURTNEY RENEE MARSH OD

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

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 Barry's NPI number?

The NPI number for Samuel Barry is 1275039877. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Samuel Barry located?

Samuel Barry practices at 1104 N Vermilion St, Danville, IL 61832. The listed phone number is (217) 442-2631.

What is Samuel Barry's specialty?

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

Is Samuel Barry enrolled in Medicare?

Yes. Samuel Barry 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 Barry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Samuel Barry 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 Barry affiliated with any hospitals?

According to CMS data, Samuel Barry is affiliated with Osf Sacred Heart Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Barry was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.