Active NPI 1023396355 Individual Practitioner Male Practitioner

Dr. Samuel Joseph Herbert , OD

Optometrist • Napa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Herbert, OD is a certified Optometrist practicing in Napa, CA. With approximately 15 years of clinical experience since graduating from Indiana University - School Of Optometry in 2011, Dr. Herbert delivers high-quality medical care to the local community at 1104 PEAR TREE LN.

Dr. Herbert is affiliated with Napa Valley Optometric Grp A Prof Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1104 Pear Tree Ln

Napa, CA 945586446

Telephone 7072525380

Fax 7072525384

Associated Practice Facility / Clinic

🏢 Napa Valley Optometric Group Facility NPI 1295768919

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Napa, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -7.2 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Napa, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbert (15 Years) 15 Yrs

Napa Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	185	169	$70.00	$43.73
99213 Established patient office or other outpatient visit, typically 15 minutes	168	141	$143.00	$103.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	84	$184.00	$145.35
92014 Established patient complete exam of visual system	65	64	$150.00	$147.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	35	$110.00	$65.58
92083 Exam of visual field with extended testing	43	39	$85.00	$76.74
92134 Imaging of retina	40	33	$51.00	$47.02
92133 Imaging of optic nerve	33	31	$50.00	$40.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	191	$175.18	$141.06
92250 Photography of the retina	193	180	$70.00	$43.48
99213 Established patient office or other outpatient visit, typically 15 minutes	119	96	$137.54	$100.37
92014 Established patient complete exam of visual system	85	85	$150.00	$147.40
92134 Imaging of retina	38	32	$51.00	$46.78
92133 Imaging of optic nerve	31	30	$50.00	$41.42
92083 Exam of visual field with extended testing	31	27	$85.00	$74.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$107.50	$64.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	165	$134.00	$132.66
92014 Established patient complete exam of visual system	151	149	$150.00	$145.59
92250 Photography of the retina	137	130	$70.00	$42.42
99213 Established patient office or other outpatient visit, typically 15 minutes	81	62	$93.00	$92.10
92083 Exam of visual field with extended testing	61	54	$85.00	$73.45
92134 Imaging of retina	58	48	$51.00	$45.94
92133 Imaging of optic nerve	43	40	$50.00	$40.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$60.00	$59.29
92004 New patient complete exam of visual system	19	19	$160.00	$158.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	230	227	$150.00	$146.69
92250 Photography of the retina	114	108	$70.00	$45.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	71	$134.00	$134.00
99213 Established patient office or other outpatient visit, typically 15 minutes	93	72	$93.00	$93.00
92004 New patient complete exam of visual system	55	55	$160.00	$160.00
92134 Imaging of retina	51	42	$51.00	$46.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	34	$60.00	$60.00
92083 Exam of visual field with extended testing	40	36	$85.00	$74.76
92133 Imaging of optic nerve	29	27	$50.00	$41.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	179	179	$144.22	$142.42
99213 Established patient office or other outpatient visit, typically 15 minutes	96	69	$90.38	$84.89
92250 Photography of the retina	59	57	$82.29	$52.59
92083 Exam of visual field with extended testing	40	37	$82.72	$75.40
92133 Imaging of optic nerve	30	29	$50.67	$41.97
92134 Imaging of retina	25	23	$51.56	$47.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$130.14	$121.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	236	233	$135.00	$133.93
99213 Established patient office or other outpatient visit, typically 15 minutes	133	75	$84.00	$83.24
92250 Photography of the retina	96	90	$95.00	$60.04
92083 Exam of visual field with extended testing	60	49	$78.00	$77.01
92133 Imaging of optic nerve	52	42	$52.00	$41.72
92134 Imaging of retina	41	34	$53.00	$47.49
92004 New patient complete exam of visual system	38	38	$145.00	$143.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	22	$50.00	$49.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$120.00	$119.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	265	264	$135.00	$132.89
99213 Established patient office or other outpatient visit, typically 15 minutes	115	78	$84.00	$80.49
92250 Photography of the retina	107	96	$95.00	$65.78
92083 Exam of visual field with extended testing	55	49	$78.00	$74.66
92133 Imaging of optic nerve	45	40	$52.00	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$120.00	$118.19
92004 New patient complete exam of visual system	29	29	$145.00	$143.55
92134 Imaging of retina	28	24	$53.00	$46.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	18	$50.00	$49.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	179	179	$132.99	$129.58
99213 Established patient office or other outpatient visit, typically 15 minutes	106	80	$83.45	$80.18
92250 Photography of the retina	66	62	$95.00	$77.28
92004 New patient complete exam of visual system	50	50	$141.00	$137.67
92083 Exam of visual field with extended testing	47	42	$78.00	$73.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	34	$50.00	$48.68
92133 Imaging of optic nerve	28	24	$52.00	$40.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$119.17	$115.84
92134 Imaging of retina	22	21	$53.00	$45.83

Medical Specialties & State Licenses

CMS Verified: 2020-09-04

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 14187

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.

Hospital & Practice Group Affiliations

Napa Valley Optometric Grp A Prof Corp

1104 Pear Tree Ln, Napa, CA 945586446

Phone: 7072525380

Napa Valley Optometric Grp A Prof Corp

1104 Pear Tree Lane, Napa, CA 945586446

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Loukia Hadjiyianni , OD

Optometrist

NPI 1083287015

Doctor of Optometry

Dr. Gregg Beach , OD

Optometrist

NPI 1295705010

Doctor of Optometry

Dr. Tempus Fugit , OD

Optometrist

NPI 1962472795

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2014

Registered at 1104 PEAR TREE LN, NAPA, CA 945586446 (Tel: 7072525380)

📍

Updated Business Mailing Address July 01, 2014

Registered at 1104 PEAR TREE LN, NAPA, CA 945586446 (Tel: 7072525380)

👤

Provider Name / Credentials Updated July 01, 2014

Recorded as SAMUEL HERBERT, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Optometrist (License #14187 in CA)

🟢

Initial NPI Registration & Enumeration August 04, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023396355

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2011

Last Update: September 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1104 Pear Tree Ln

Napa, CA 945586446

Phone: 7072525380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.