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DR. SAMUEL ALEXANDER MAINIERI OD
NPI 1841975943
Optometrist in Berkeley, CA

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
200 MINOR LN, BERKELEY, CA 94720(510) 642-2020 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Alexander Mainieri Od NPPES

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

DR. SAMUEL ALEXANDER MAINIERI OD (NPI 1841975943) is an individual optometrist in Berkeley, California, licensed in California (OPT35518-TLG) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2023).

NPPES Registry Identity

NPI1841975943
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL ALEXANDER MAINIERICredential: OD
Location Address200 MINOR LNBerkeley, CA 94720-0001
Mailing Address738 Promontory TerSan Ramon, CA 94583-1564 · (636) 284-8248
Phone(510) 642-2020
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2023
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1841975943 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 CA · OPT35518-TLG
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.
200 MINOR LN, Berkeley, CA 94720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Samuel Alexander Mainieri 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 ID6608239934
PECOS Enrollment IDI20230901003168
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 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 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.
19 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94720 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 2

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

DR. RICHARD PHAN OD
Optometrist
200 MINOR LN
BERKELEY, CA 94720
Alameda County (510) 642-2020
ALEXA WESTERBECK OD
Optometrist
200 MINOR LN
BERKELEY, CA 94720
Alameda County (510) 642-2020

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 Mainieri's NPI number?

The NPI number for Samuel Mainieri is 1841975943. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Samuel Mainieri located?

Samuel Mainieri practices at 200 Minor Ln, Berkeley, CA 94720. The listed phone number is (510) 642-2020.

What is Samuel Mainieri's specialty?

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

Is Samuel Mainieri enrolled in Medicare?

Yes. Samuel Mainieri 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 Mainieri accept?

Health plans from Providence Health Plan list Samuel Mainieri 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 Mainieri was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.