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SAMUEL W. BUTLER O.D.
NPI 1538247135
Optometrist in Spencer, IA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.34/100
CMS Quality Rating
3 E 18TH ST, SPENCER, IA 51301(712) 262-1589(712) 262-3689 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samuel W. Butler O.d. NPPES

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

SAMUEL W. BUTLER O.D. (NPI 1538247135) is an individual optometrist in Spencer, Iowa, licensed in Iowa (02135) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1538247135
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL W. BUTLERCredential: O.D.
Location Address3 E 18TH STSpencer, IA 51301-3441
Mailing AddressPo Box 707Spencer, IA 51301-0707 · (712) 262-1589 · Fax (712) 262-3689
Phone(712) 262-1589
Fax(712) 262-3689
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1538247135 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 IA · 02135
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.
3 E 18TH ST, Spencer, IA 51301
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Other Identifiers 4

Medicaid0198416IA
Other05577IA · Blue Cross Blue Shield
Medicare UPINU77794IA
Medicare ID-Type Unspecified71993IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, 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

Samuel W. Butler 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 ID2365336468
PECOS Enrollment IDI20110103000161
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 10

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 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.
624 services474 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.
512 services510 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.
181 services142 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.
103 services85 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.
100 services58 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.
79 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

95.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.68
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
75%79 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%273 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
87%45 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%2,775 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%145 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%1,192 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier41 claims41 services$47.89 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims24 services$28.11 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims42 services$47.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

EYECARE CENTRE
Optometrist
3 E 18TH ST
SPENCER, IA 51301
Clay County (712) 262-1589

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 Butler's NPI number?

The NPI number for Samuel Butler is 1538247135. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Samuel Butler located?

Samuel Butler practices at 3 E 18th St, Spencer, IA 51301. The listed phone number is (712) 262-1589.

What is Samuel Butler's specialty?

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

Is Samuel Butler enrolled in Medicare?

Yes. Samuel Butler 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 Butler accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Medica and 2 other insurers list Samuel Butler 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 Butler was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.