Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902336274 Individual Practitioner Female Practitioner

Dr. Alexandra Marie Samuelson , OD

Optometrist • Harrisonville, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexandra Samuelson, OD is a certified Optometrist practicing in Harrisonville, MO. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Samuelson delivers high-quality medical care to the local community at 670 S COMMERCIAL ST.

Dr. Samuelson is affiliated with Eye Care Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

670 S Commercial St

Harrisonville, MO 647011653

Telephone 8164781230
Associated Practice Facility / Clinic
🏢 Eye Care, Llc Facility NPI 1861518060

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Harrisonville, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -8.7 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Harrisonville, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (9 Years) 9 Yrs
Harrisonville Specialty Average (17.7 Years) 17.7 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
92014 Established patient complete exam of visual system
163 162 $231.22 $116.78
92134 Imaging of retina
61 59 $74.75 $37.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
33 32 $245.55 $122.87
99213 Established patient office or other outpatient visit, typically 15 minutes
30 28 $171.70 $86.90
92012 Established patient problem focused exam of visual system
27 24 $171.22 $83.15
92133 Imaging of optic nerve
21 21 $66.52 $33.86
92083 Exam of visual field with extended testing
17 17 $119.24 $58.39
92004 New patient complete exam of visual system
17 17 $275.65 $139.17

Medical Specialties & State Licenses

CMS Verified: 2021-09-21
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 2021020008

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License TX 9221T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
Q00126189 (MO)

Hospital & Practice Group Affiliations

Eye Care Llc

11500 Granada St, Leawood, KS 662111453

Phone: 8164781230

Eye Care Llc

4741 S Cochise Dr, Independence, MO 640556974

Phone: 8164781230

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1023001302

Doctor of Optometry

Dr. Carl Stout , MD

Ophthalmology

NPI 1023001393

Doctor of Medicine (M.D.)

NPI 1043203300

Doctor of Optometry

NPI 1063257269

Doctor of Optometry

NPI 1114053055

Doctor of Optometry

NPI 1114282258

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 21, 2021

Registered at 670 S COMMERCIAL ST, HARRISONVILLE, MO 647011653 (Tel: 8164781230)

📍
Updated Business Mailing Address September 21, 2021

Registered at 4801 S CLIFF AVE STE 100, INDEPENDENCE, MO 640556954 (Tel: 8164781230)

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2017

Registered at 402 SAWDUST RD, SPRING, TX 773802243 (Tel: 2813632020)

📍
Updated Business Mailing Address June 19, 2017

Registered at 135 W RUSSET GROVE CIR, CONROE, TX 773843827 (Tel: 9135226358)

👤
Provider Name / Credentials Updated June 19, 2017

Recorded as ALEXANDRA SAMUELSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Optometrist (License #9221T in TX)

🟢
Initial NPI Registration & Enumeration June 19, 2017

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: 1902336274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2017
Last Update: September 21, 2021
Sole Proprietor: No

Mailing Address

4801 S Cliff Ave Ste 100

Independence, MO 640556954

Phone: 8164781230

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.