Samuel Kim, OD
NPI 1174257703ActiveIndividual· Optometrist· Philadelphia, PA
Optometrist (OD) in Philadelphia, Pennsylvania, trained at Pennsylvania College of Optometry (class of 2022). In 2024 Medicare paid $10,361 for 63 patients, and Part D covered 86 of their prescriptions, 51% of them generic. Coopervision Inc. was the largest of 4 companies reporting payments in 2025, $131.31 in all, mostly food and beverage.
Overview
| NPI | 1174257703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2022 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OEG003897 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 193 across 16 procedure codes |
| Paid by Medicare | $10,361 |
Part D prescriptions in 2024
| Prescriptions (claims) | 86 · 121 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $14,626 |
| Generic share | 51% of claims |
Education and affiliations
| Medical school | Pennsylvania College of Optometry |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Optometry |
Medical group
- The Elder Eye Care Group, IncPhoenixville, PA · 12 clinicians
Industry payments (Open Payments)
- 2025$131.31 · 6 payments from 4 companies
- 2024$498.74 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $57.76 | 2 |
| Bausch & Lomb Americas Inc. | $38.85 | 2 |
| Johnson & Johnson Vision Care, Inc. | $20.54 | 1 |
| Biotissue Holdings Inc. | $14.16 | 1 |
What the 2025 payments were for
- Food and Beverage$131.31 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 407 optometrists in Philadelphia · All optometrists in Pennsylvania