Active NPI 1598717860 Individual Practitioner Male Practitioner

John Randall Samples

Ophthalmology • Olympia, WA

Professional Overview & Biography Verified Profile Summary

John Samples is a registered healthcare professional specializing in Ophthalmology in Olympia, WA. Practice services are available at 215 LILLY RD NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 Lilly Rd Ne

Olympia, WA 985065030

Telephone 3604564800

Fax 3604564800

Associated Practice Facility / Clinic

🏢 Olympia Eye Clinic Pllc Facility NPI 1194771576

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Olympia, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Olympia, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	121	63	$180.00	$93.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	53	$260.00	$130.25
92083 Exam of visual field with extended testing	41	40	$155.00	$66.79
92133 Imaging of optic nerve	33	32	$85.00	$37.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	85	$180.00	$92.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	71	$260.00	$130.78
92083 Exam of visual field with extended testing	52	48	$155.00	$65.89
92133 Imaging of optic nerve	41	39	$85.00	$37.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	352	176	$146.86	$93.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	229	111	$67.63	$57.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	122	$217.72	$132.51
92133 Imaging of optic nerve	161	152	$117.13	$37.47
92083 Exam of visual field with extended testing	139	130	$141.85	$65.49
76514 Ultrasound scan of cornea to determine thickness	121	119	$53.00	$11.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$270.09	$169.81
92134 Imaging of retina	22	21	$122.64	$41.60
65855 Laser repair to improve eye fluid flow	12	11	$736.00	$207.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	885	452	$128.42	$91.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	330	$187.67	$131.57
92134 Imaging of retina	302	254	$80.20	$40.25
92083 Exam of visual field with extended testing	263	236	$124.67	$64.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	61	$84.76	$56.00
92133 Imaging of optic nerve	51	44	$110.14	$37.67
92020 Examination of cornea and iris using lens device and slit lamp	45	43	$60.00	$28.38
67820 Removal of eyelashes using forceps	24	16	$80.00	$21.24
92014 Established patient complete exam of visual system	19	18	$151.26	$129.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$275.00	$169.72
92136 Measurement of corneal curvature and depth of eye	17	17	$140.29	$56.04
92025 Ct scan of cornea	15	15	$75.00	$33.91
76514 Ultrasound scan of cornea to determine thickness	11	11	$43.64	$11.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,024	486	$123.72	$75.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	781	527	$181.25	$109.95
92134 Imaging of retina	396	355	$82.31	$39.75
92083 Exam of visual field with extended testing	377	342	$126.89	$64.64
92020 Examination of cornea and iris using lens device and slit lamp	68	66	$60.79	$28.17
92133 Imaging of optic nerve	52	47	$138.75	$37.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$262.45	$163.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	40	$83.20	$43.21
92014 Established patient complete exam of visual system	45	45	$181.53	$127.83
76514 Ultrasound scan of cornea to determine thickness	35	35	$38.46	$11.57
66982 Complex removal of cataract with insertion of prosthetic lens	24	19	$1970.83	$730.76
92136 Measurement of corneal curvature and depth of eye	22	22	$145.91	$63.48
66172 Creation of eye fluid drainage tract	22	17	$1930.00	$1213.99
67820 Removal of eyelashes using forceps	21	15	$80.00	$26.08
92025 Ct scan of cornea	19	19	$82.89	$34.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$171.67	$108.87
65855 Laser repair to improve eye fluid flow	12	11	$529.17	$211.76
92250 Photography of the retina	11	11	$105.00	$45.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,272	561	$121.16	$74.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	409	$164.20	$108.74
92083 Exam of visual field with extended testing	443	408	$135.18	$64.99
92134 Imaging of retina	371	342	$88.00	$39.33
92014 Established patient complete exam of visual system	217	215	$183.00	$126.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	109	$76.38	$45.09
92020 Examination of cornea and iris using lens device and slit lamp	112	98	$62.00	$27.65
92136 Measurement of corneal curvature and depth of eye	86	30	$114.07	$36.17
92133 Imaging of optic nerve	71	67	$139.27	$35.99
76514 Ultrasound scan of cornea to determine thickness	42	42	$22.19	$11.96
92004 New patient complete exam of visual system	25	25	$224.00	$152.52
92025 Ct scan of cornea	25	23	$100.00	$34.65
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$615.00	$312.97
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	11	$800.00	$238.85
65855 Laser repair to improve eye fluid flow	19	15	$759.21	$210.25
66982 Complex removal of cataract with insertion of prosthetic lens	19	14	$1900.00	$780.41
66172 Creation of eye fluid drainage tract	17	15	$2304.71	$1160.13
66984 Removal of cataract with insertion of lens	15	15	$1642.00	$607.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$277.53	$165.94
67820 Removal of eyelashes using forceps	14	13	$85.71	$34.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,228	575	$121.79	$72.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	706	481	$162.05	$107.31
92083 Exam of visual field with extended testing	474	435	$134.77	$64.43
92134 Imaging of retina	438	411	$88.00	$40.04
92020 Examination of cornea and iris using lens device and slit lamp	234	213	$62.13	$26.79
92014 Established patient complete exam of visual system	226	222	$183.00	$126.34
76514 Ultrasound scan of cornea to determine thickness	133	132	$22.24	$14.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	97	$84.51	$44.32
92133 Imaging of optic nerve	63	60	$136.70	$36.17
92136 Measurement of corneal curvature and depth of eye	60	22	$113.50	$39.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$260.08	$165.21
92004 New patient complete exam of visual system	35	35	$224.00	$152.20
66984 Removal of cataract with insertion of lens	23	20	$1714.13	$622.12
67820 Removal of eyelashes using forceps	19	17	$84.21	$42.13
92025 Ct scan of cornea	18	18	$100.00	$34.82
92082 Exam of visual field with intermediate testing	18	17	$116.00	$47.77
65855 Laser repair to improve eye fluid flow	16	15	$800.00	$210.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$227.20	$145.72
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$625.77	$318.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,220	516	$121.48	$70.97
92083 Exam of visual field with extended testing	416	381	$135.06	$63.29
92134 Imaging of retina	339	323	$88.15	$38.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	273	$165.21	$103.99
92020 Examination of cornea and iris using lens device and slit lamp	264	248	$62.00	$26.29
92014 Established patient complete exam of visual system	170	167	$183.00	$120.02
76514 Ultrasound scan of cornea to determine thickness	118	118	$22.27	$13.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	72	$83.41	$43.37
92133 Imaging of optic nerve	58	54	$138.21	$36.07
92004 New patient complete exam of visual system	47	47	$224.00	$146.27
92136 Measurement of corneal curvature and depth of eye	44	19	$121.36	$45.95
66984 Removal of cataract with insertion of lens	25	20	$1705.20	$568.64
66172 Creation of eye fluid drainage tract	23	21	$2544.52	$1150.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$266.14	$160.22
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$630.00	$311.03
65855 Laser repair to improve eye fluid flow	14	14	$737.50	$198.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$107.17
92082 Exam of visual field with intermediate testing	11	11	$116.00	$47.70

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00030114

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OR MD 13791

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

289959 (OR)

Medicaid State Provider ID

2044175 (WA)

Commercial Insurance / Payer ID L&i

360398 (WA)

Commercial Insurance / Payer ID Railroad Medicare

180040576

Secondary Practice Locations

11960 Lioness Way, Suite 190

Parker, CO 80134

Phone: 3037971900

11960 Lioness Way, Suite 190

Parker, CO 80134

Phone: 3037971900

2225 Bayside Pl Ne

Olympia, WA 985063259

Phone: 3035050776

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Rodger Bodoia , MD

Ophthalmology

NPI 1073676847

Doctor of Medicine (M.D.)

Dr. Brian Sullivan , OD

Optometrist

NPI 1184787988

Doctor of Optometry

Dr. Noel Castillo , MD

Ophthalmology

NPI 1316404999

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Ophthalmology (License #MD 13791 in OR)

✅

NPI Profile Active October 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2017

Registered at 215 LILLY RD NE, OLYMPIA, WA 985065030 (Tel: 3604564800)

📍

Updated Business Mailing Address October 16, 2017

Registered at 215 LILLY RD NE, OLYMPIA, WA 985065030 (Tel: 3604564800)

👤

Provider Name / Credentials Updated October 16, 2017

Recorded as JOHN SAMPLES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2017

Ophthalmology (License #MD00030114 in WA)

✅

NPI Profile Active December 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2008

Registered at 11960 LIONESS WAY, SUITE 190, PARKER, CO 80134 (Tel: 3037971900)

📍

Updated Business Mailing Address December 11, 2008

Registered at PO BOX 4183, PORTLAND, OR 97208 (Tel: 5034946107)

👤

Provider Name / Credentials Updated December 11, 2008

Recorded as JOHN SAMPLES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2008

Ophthalmology (License #MD 13791 in OR)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for John Samples. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1598717860

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 Lilly Rd Ne

Olympia, WA 985065030

Phone: 3604564800

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.