Samantha Clark, OD
NPI 1033763016ActiveIndividual· Optometrist· Plymouth, IN
Optometrist (OD) in Plymouth, Indiana, trained at Illinois College of Optometry at Chicago (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $19,803 for 55 claims, against $6,965 paid for services in 2024. Bausch & Lomb Americas Inc. reported $100.90 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1033763016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2019 |
| Last updated in NPPES | Feb 28, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 18004186A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 114 across 14 procedure codes |
| Paid by Medicare | $6,965 |
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 58 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $19,803 |
| Generic share | 38% of claims |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Optometry |
Medical group
- Aeg Indiana Professional PCPlymouth, IN · 31 clinicians
Industry payments (Open Payments)
- 2025$100.90 · 4 payments from 1 company
- 2024$193.77 · 8 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bausch & Lomb Americas Inc. | $100.90 | 4 |
What the 2025 payments were for
- Food and Beverage$100.90 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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