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DR. SAMANTHA BUTCHER OD
NPI 1417635137
Optometrist in Carlinville, IL

Active since July 11, 2023PECOS EnrolledAccepts Medicare Assignment
270 N BROAD ST, CARLINVILLE, IL 62626(217) 854-7611 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samantha Butcher Od NPPES

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

DR. SAMANTHA BUTCHER OD (NPI 1417635137) is an individual optometrist in Carlinville, Illinois, licensed in Illinois (046.011734) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417635137
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMANTHA BUTCHERCredential: OD
Location Address270 N BROAD STCarlinville, IL 62626-1371
Mailing Address270 N Broad StCarlinville, IL 62626-1371 · (217) 854-7611
Phone(217) 854-7611
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1417635137 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 IL · 046.011734
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.
270 N BROAD ST, Carlinville, IL 62626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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

Dr. Samantha Butcher 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 ID9032564778
PECOS Enrollment IDI20231016001767
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 Reassignment

Medicare enrollment records show Samantha Butcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyecare Of Carlinville PC
0.9 mi
Optometrist
300 N BROAD ST
Carlinville, IL 62626
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1578803011 (217) 854-7611

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 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.

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.
1,980 services18 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.
133 services133 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.
126 services125 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.
94 services66 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.
37 services37 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.
36 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62626 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 Samantha Butcher's NPI number?

The NPI number for Samantha Butcher is 1417635137. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Samantha Butcher located?

Samantha Butcher practices at 270 N Broad St, Carlinville, IL 62626. The listed phone number is (217) 854-7611.

What is Samantha Butcher's specialty?

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

Is Samantha Butcher enrolled in Medicare?

Yes. Samantha Butcher 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 organization bills Medicare for Samantha Butcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Butcher reassigns Medicare benefits to Eyecare Of Carlinville PC (Carlinville, IL). The 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 Samantha Butcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Butcher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Samantha Butcher 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 Samantha Butcher was last updated on July 11, 2023. 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.