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SAMANTHA ROUND O.D.
NPI 1720826472
Optometrist in Philadelphia, PA

Active since July 17, 2024PECOS Enrolled
1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Round O.d. NPPES

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

SAMANTHA ROUND O.D. (NPI 1720826472) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG004187) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720826472
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAMANTHA ROUNDCredential: O.D.
Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323
Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329
Phone(215) 276-6000
Fax(215) 276-1329
Sole ProprietorYes
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1720826472 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 PA · OEG004187
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.
1200 W GODFREY AVE, Philadelphia, PA 19141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Samantha Round O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Samantha Round reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University
Same address
Optometrist
1200 W GODFREY AVE
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1336160027 (215) 276-6000
Drexel University
Same address
Optometrist
1200 W GODFREY AVE
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Salus University
  • 63 clinicians in this Medicare group
NPI 1336160027 (215) 276-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 20

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

DANIEL HOFFMAN O.D
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. CARLO J PELINO OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. JEAN MARIE PAGANI OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
ELIZABETH MARIE MARUNDE OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. MELISSA A VITEK OPTOMETRIST
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
JON KUZNIA OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
AIRSHPREET KAUR
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DAWN MICHELLE CICCARONE
Occupational Therapist
1200 W GODFREY AVE, ADMINISTRATION SUITE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000

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 Round's NPI number?

The NPI number for Samantha Round is 1720826472. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Samantha Round located?

Samantha Round practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.

What is Samantha Round's specialty?

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

Is Samantha Round enrolled in Medicare?

Yes. Samantha Round is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Round's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Round reassigns Medicare benefits to 2 organizations: Drexel University (Philadelphia, PA) and Drexel University (Philadelphia, PA). 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 Samantha Round's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Round accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Samantha Round 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 Round was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.