SAMANTHA OSTROM
NPI 1790672384
Optometrist in Crown Point, IN

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
1861 E SUMMIT ST, CROWN POINT, IN 46307(219) 617-5058 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Samantha Ostrom NPPES

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

SAMANTHA OSTROM (NPI 1790672384) is an individual optometrist in Crown Point, Indiana, licensed in Indiana (18004584A) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Indiana University - School Of Optometry (2025).

NPPES Registry Identity

NPI1790672384
Entity TypeIndividual
Primary Taxonomy152W00000X
Provider Legal NameSAMANTHA OSTROM
Location Address1861 E SUMMIT STCrown Point, IN 46307-2768
Mailing Address1861 E Summit StCrown Point, IN 46307-2768 · (219) 663-4450
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2025
Enumeration DateJune 18, 2025
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1790672384 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 IN · 18004584A
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.
1861 E SUMMIT ST, Crown Point, IN 46307

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

Samantha Ostrom 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 ID1850808262
PECOS Enrollment IDI20250730001254
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.

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

Optometrist
1861 E SUMMIT ST
CROWN POINT, IN 46307

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 Ostrom's NPI number?

The NPI number for Samantha Ostrom is 1790672384. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Samantha Ostrom located?

Samantha Ostrom practices at 1861 E Summit St, Crown Point, IN 46307. The listed phone number is (219) 617-5058.

What is Samantha Ostrom's specialty?

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

Is Samantha Ostrom enrolled in Medicare?

Yes. Samantha Ostrom 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 Samantha Ostrom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Samantha Ostrom 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 Samantha Ostrom affiliated with any hospitals?

According to CMS data, Samantha Ostrom is affiliated with St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Samantha Ostrom was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.