DR. SAM BAKER OD
NPI 1992887798
Optometrist in Springfield, VA
About Dr. Sam Baker Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAM BAKER OD (NPI 1992887798) is an individual optometrist in Springfield, Virginia, licensed in Virginia (0618002372) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Sam Baker 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.
Medicare Billing Reassignment
Medicare enrollment records show Sam Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1972275196 (Virginia)
- 2,492 clinicians in this Medicare group
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 22150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, VA 22150
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 Sam Baker's NPI number?
The NPI number for Sam Baker is 1992887798. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Sam Baker located?
Sam Baker practices at 6535 Springfield Mall Space # 11045, Springfield, VA 22150. The listed phone number is (703) 971-4739.
What is Sam Baker's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sam Baker enrolled in Medicare?
Yes. Sam Baker 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 organization bills Medicare for Sam Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Baker reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The 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 Sam Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sam Baker was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Sam Baker, OD · NPI 1992887798
Optometrist provider in Springfield, Virginia. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1992887798 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0618002372 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6535 SPRINGFIELD MALL, SPACE # 11045, Springfield, VA 22150-1714
- **Phone:** (703) 971-4739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2004
## Record status
- **NPPES last updated:** May 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1992887798) · Data from the CMS NPPES public registry.