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PATRICK JODE SAMELS OD
NPI 1801954979
Optometrist in Green Bay, WI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
2330 ONEIDA ST, SUITE 106, GREEN BAY, WI 54304(920) 496-9699(920) 496-1540 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patrick Jode Samels Od NPPES

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

PATRICK JODE SAMELS OD (NPI 1801954979) is an individual optometrist in Green Bay, Wisconsin, licensed in Wisconsin (2517) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1992).

NPPES Registry Identity

NPI1801954979
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePATRICK JODE SAMELSCredential: OD
Location Address2330 ONEIDA ST, SUITE 106Green Bay, WI 54304
Mailing Address2330 Oneida St, Suite 106Green Bay, WI 54304 · (920) 496-9699 · Fax (920) 496-1540
Phone(920) 496-9699
Fax(920) 496-1540
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1992
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1801954979 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 WI · 2517
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.
2330 ONEIDA ST, Green Bay, WI 54304
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Other Identifiers 3

Medicare UPINU40630WI
Other2517WI · State License
Medicare ID-Type Unspecified000187980WI · Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Patrick Jode Samels 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 ID4385706373
PECOS Enrollment IDI20081230000135
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 Patrick Samels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Modern Eyes Ltd.
Same address
Optometrist
2330 S ONEIDA ST STE 106
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1811132830 (920) 499-3937
Oneida Nation
2.8 mi
Mental Health (Including Community Mental Health Center)
2640 W POINT RD
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 78 clinicians in this Medicare group
NPI 1205825130 (920) 490-3790

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 2

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.
102 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Patrick Samels's NPI number?

The NPI number for Patrick Samels is 1801954979. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Patrick Samels located?

Patrick Samels practices at 2330 Oneida St Suite 106, Green Bay, WI 54304. The listed phone number is (920) 496-9699.

What is Patrick Samels's specialty?

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

Is Patrick Samels enrolled in Medicare?

Yes. Patrick Samels 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 organizations bill Medicare for Patrick Samels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Samels reassigns Medicare benefits to 2 organizations: Modern Eyes Ltd. (Green Bay, WI) and Oneida Nation (Green Bay, WI). 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 Patrick Samels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Samels accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Patrick Samels 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 Patrick Samels was last updated on August 18, 2008. 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.