THOMAS J SAMSON OD
NPI 1639117625
Optometrist in Bismarck, ND

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
75.28/100
CMS Quality Rating
3119 N 14TH ST, BISMARCK, ND 58503(701) 222-1393(701) 222-8805 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2020, Feb 19, 2019 (2 updates tracked since 2019).

About Thomas J Samson Od NPPES

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

THOMAS J SAMSON OD (NPI 1639117625) is an individual optometrist in Bismarck, North Dakota, licensed in North Dakota (471) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bismarck, and is a graduate of Pacific University - College Of Optometry (1988).

NPPES Registry Identity

NPI1639117625
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHOMAS J SAMSONCredential: OD
Location Address3119 N 14TH STBismarck, ND 58503-0664
Mailing Address200 S 5th StBismarck, ND 58504-5675 · (701) 222-3937 · Fax (701) 222-8805
Fax(701) 222-8805
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1988
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
NPI 1639117625 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 ND · 471
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.

3119 N 14TH ST, Bismarck, ND 58503

Secondary Practice Location 1

Location 1200 S 5th StBismarck, ND 58504-5675 · Phone (701) 222-3937 · Fax (701) 222-8805

Other Identifiers 1

Medicaid1455123ND

Accepted 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

Thomas J Samson 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 ID6002957016
PECOS Enrollment IDI20100112000554
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 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.

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.
203 services200 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.
141 services139 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.
47 services42 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.
34 services26 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.
27 services19 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).
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58503 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

75.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost17.62

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.

Ophthalmology
3119 N 14TH ST
BISMARCK, ND 58503
Optometrist
3119 N 14TH ST
BISMARCK, ND 58503
Nurse Practitioner (Family)
3119 N 14TH ST
BISMARCK, ND 58503
Optometrist
3119 N 14TH ST
BISMARCK, ND 58503
Optometrist
3119 N 14TH ST
BISMARCK, ND 58503
Optometrist
3119 N 14TH ST
BISMARCK, ND 58503
Ophthalmology
3119 N 14TH ST
BISMARCK, ND 58503

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 Thomas Samson's NPI number?

The NPI number for Thomas Samson is 1639117625. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Thomas Samson located?

Thomas Samson practices at 3119 N 14th St, Bismarck, ND 58503. The listed phone number is (701) 222-1393.

What is Thomas Samson's specialty?

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

Is Thomas Samson enrolled in Medicare?

Yes. Thomas Samson 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 Thomas Samson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Louisiana, Medica and Sanford Health Plan list Thomas Samson 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 Thomas Samson was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.