Active NPI 1164651998 Individual Practitioner Male Practitioner

Dr. Samuel Adam Phelps , OD

Optometrist • Henderson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Phelps, OD is a certified Optometrist practicing in Henderson, TN. With approximately 17 years of clinical experience since graduating from Southern College Of Optometry in 2009, Dr. Phelps delivers high-quality medical care to the local community at 138 S WASHINGTON AVE.

Dr. Phelps is affiliated with Skyline Eye Clinic, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, 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

138 S Washington Ave

Henderson, TN 383402323

Telephone 7319893511

Associated Practice Facility / Clinic

🏢 Larry-W-Bloomingburg-Od Facility NPI 1952571895

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Henderson, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -9.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 22.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Henderson, TN (1373 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phelps (17 Years) 17 Yrs

Henderson Specialty Average (26.7 Years) 26.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	371	292	$95.34	$87.72
92133 Imaging of optic nerve	131	103	$51.15	$33.97
92014 Established patient complete exam of visual system	102	99	$125.94	$119.18
92134 Imaging of retina	79	70	$50.00	$38.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$124.48	$123.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$130.00	$106.90
92250 Photography of the retina	39	38	$88.72	$35.02
92004 New patient complete exam of visual system	26	26	$144.00	$142.54
92083 Exam of visual field with extended testing	24	23	$120.63	$58.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	236	228	$124.56	$118.01
99213 Established patient office or other outpatient visit, typically 15 minutes	209	161	$96.44	$83.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	91	$125.00	$120.16
92133 Imaging of optic nerve	98	77	$53.06	$32.75
92004 New patient complete exam of visual system	80	80	$145.07	$140.79
92250 Photography of the retina	70	65	$89.86	$34.54
92134 Imaging of retina	68	61	$50.74	$37.25
92083 Exam of visual field with extended testing	49	48	$120.61	$57.16
76514 Ultrasound scan of cornea to determine thickness	20	20	$22.00	$9.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$135.63	$104.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$190.00	$156.32

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	208	177	$129.62	$119.24
99213 Established patient office or other outpatient visit, typically 15 minutes	141	118	$94.78	$82.51
92133 Imaging of optic nerve	83	66	$54.16	$33.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$176.00	$155.51
92134 Imaging of retina	51	46	$50.49	$37.67
92014 Established patient complete exam of visual system	45	44	$124.00	$117.63
92250 Photography of the retina	35	29	$84.86	$34.53
92083 Exam of visual field with extended testing	21	19	$107.76	$56.87
92004 New patient complete exam of visual system	19	19	$144.00	$140.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$130.00	$103.84

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	225	173	$133.73	$122.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$160.94	$156.18
99213 Established patient office or other outpatient visit, typically 15 minutes	67	57	$91.72	$83.53
92133 Imaging of optic nerve	60	47	$55.17	$33.46
92250 Photography of the retina	46	39	$78.72	$36.86
92083 Exam of visual field with extended testing	29	27	$90.97	$58.59
92134 Imaging of retina	28	25	$48.21	$37.82
92004 New patient complete exam of visual system	21	21	$149.38	$133.58
92014 Established patient complete exam of visual system	20	20	$127.85	$115.07

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	106	84	$133.87	$103.24
92014 Established patient complete exam of visual system	71	71	$128.54	$119.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$156.96	$155.03
92250 Photography of the retina	60	53	$79.12	$42.01
92133 Imaging of optic nerve	54	45	$47.31	$33.63
92083 Exam of visual field with extended testing	29	26	$85.48	$58.83
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$78.78	$71.07
92134 Imaging of retina	17	15	$42.35	$38.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$155.00	$154.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	57	$124.75	$102.77
92133 Imaging of optic nerve	44	42	$40.00	$34.08
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$75.00	$69.93
92250 Photography of the retina	30	27	$75.00	$45.57
92083 Exam of visual field with extended testing	29	26	$75.00	$59.68
66984 Removal of cataract with insertion of lens	28	15	$285.00	$120.33
92134 Imaging of retina	18	16	$40.00	$38.78
92014 Established patient complete exam of visual system	17	17	$115.59	$114.74
92285 Photography of content of eyes	16	15	$40.00	$19.62
76514 Ultrasound scan of cornea to determine thickness	11	11	$20.00	$11.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	6,501	49	$1.54	$1.38
83861 Microfluid analysis of tears	932	460	$23.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	352	$105.00	$98.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$155.00	$150.25
92250 Photography of the retina	178	166	$75.00	$51.17
92133 Imaging of optic nerve	122	111	$42.00	$32.72
92275 Recording of retinal electrical responses to external stimuli	98	94	$140.00	$135.09
92083 Exam of visual field with extended testing	94	86	$75.00	$52.16
92134 Imaging of retina	68	66	$43.00	$37.64
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$75.00	$66.52
92014 Established patient complete exam of visual system	13	13	$115.00	$112.28
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$25.00	$24.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,098	531	$23.00	$22.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	405	$105.00	$97.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	229	229	$155.00	$148.36
92133 Imaging of optic nerve	123	110	$42.00	$31.90
66984 Removal of cataract with insertion of lens	109	63	$130.00	$115.48
92083 Exam of visual field with extended testing	105	93	$75.00	$52.73
92134 Imaging of retina	87	81	$43.00	$36.94
92275 Recording of retinal electrical responses to external stimuli	85	79	$140.00	$131.97
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$75.00	$65.72
92250 Photography of the retina	65	65	$75.00	$58.05
83516 Analysis of substance using immunoassay technique	56	27	$16.00	$15.40
92284 Evaluation of eye adaptation to light and dark with interpretation and report	22	22	$65.00	$55.29
92014 Established patient complete exam of visual system	19	19	$115.00	$112.47
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$25.00	$24.42
76514 Ultrasound scan of cornea to determine thickness	18	18	$15.00	$12.73
95930 Measurement of nerve conduction using visual stimulation testing with report	17	17	$125.00	$112.99

Medical Specialties & State Licenses

CMS Verified: 2022-10-24

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN 2957

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 VA 0618001863

Hospital & Practice Group Affiliations

Skyline Eye Clinic, Pc

668 Skyline Dr, Jackson, TN 383013951

Phone: 7314268434

Secondary Practice Locations

668 Skyline Dr

Jackson, TN 383013951

Phone: 7314242414

1340 Union University Dr

Jackson, TN 383053780

Phone: 7314242414

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. L. Bloomingburg , OD

Optometrist

NPI 1770666349

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 24, 2022

Registered at 138 S WASHINGTON AVE, HENDERSON, TN 383402323 (Tel: 7319893511)

📍

Updated Practice Location May 20, 2022

Registered at 668 SKYLINE DR, JACKSON, TN 383013951 (Tel: 7314242414)

📍

Updated Business Mailing Address May 20, 2022

Registered at 668 SKYLINE DR, JACKSON, TN 383013951 (Tel: 7314242414)

✅

NPI Profile Active July 14, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2009

Registered at 2413 WARDS RD, LYNCHBURG, VA 245022103 (Tel: 4342395323)

📍

Updated Business Mailing Address July 14, 2009

Registered at 2413 WARDS RD, LYNCHBURG, VA 245022103 (Tel: 4342395323)

👤

Provider Name / Credentials Updated July 14, 2009

Recorded as SAMUEL PHELPS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2009

Optometrist (License #0618001863 in VA)

🟢

Initial NPI Registration & Enumeration July 14, 2009

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: 1164651998

Entity Type:

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

Enumeration Date: July 14, 2009

Last Update: October 24, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

668 Skyline Dr

Jackson, TN 383013951

Phone: 7314242414

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.