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DR. ALEXANDRA MARIE SAMUELSON OD
NPI 1902336274
Optometrist in Harrisonville, MO

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
670 S COMMERCIAL ST, HARRISONVILLE, MO 64701(816) 478-1230 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2021, Jun 19, 2017 (2 updates tracked since 2017).

About Dr. Alexandra Marie Samuelson Od NPPES

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

DR. ALEXANDRA MARIE SAMUELSON OD (NPI 1902336274) is an individual optometrist in Harrisonville, Missouri, licensed in Missouri (2021020008) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902336274
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEXANDRA MARIE SAMUELSONCredential: OD
Location Address670 S COMMERCIAL STHarrisonville, MO 64701-1653
Mailing Address4801 S Cliff Ave Ste 100Independence, MO 64055-6954 · (816) 478-1230
Phone(816) 478-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1902336274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MO · 2021020008✔ Licensed in TX · 9221T
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.
670 S COMMERCIAL ST, Harrisonville, MO 64701
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Other Identifiers 1

OtherQ00126189MO · Railroad Medicare

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 Kansas City.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. Alexandra Marie Samuelson 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 ID345510632
PECOS Enrollment IDI20210608001105, I20210608001523
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.
163 services162 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.
61 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 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.
30 services28 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.
27 services24 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 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64701 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

EYE CARE, LLC
Ophthalmology
670 S COMMERCIAL ST
HARRISONVILLE, MO 64701
Cass County (816) 478-1230
EYE CARE, LLC
Eyewear Supplier
670 S COMMERCIAL ST
HARRISONVILLE, MO 64701
Cass County (816) 478-1230

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 Alexandra Samuelson's NPI number?

The NPI number for Alexandra Samuelson is 1902336274. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Alexandra Samuelson located?

Alexandra Samuelson practices at 670 S Commercial St, Harrisonville, MO 64701. The listed phone number is (816) 478-1230.

What is Alexandra Samuelson's specialty?

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

Is Alexandra Samuelson enrolled in Medicare?

Yes. Alexandra Samuelson 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 Alexandra Samuelson accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Alexandra Samuelson 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 Alexandra Samuelson was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.