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DR. JAMES SMERIGLIO O.D.
NPI 1003011636
Optometrist in Hunt Valley, MD

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
118 SHAWAN RD STE S, HUNT VALLEY, MD 21030(410) 584-8224(410) 584-8225 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Smeriglio O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES SMERIGLIO O.D. (NPI 1003011636) is an individual optometrist in Hunt Valley, Maryland, licensed in Maryland (TA1092) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1990).

NPPES Registry Identity

NPI1003011636
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES SMERIGLIOCredential: O.D.
Location Address118 SHAWAN RD STE SHunt Valley, MD 21030-1323
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(410) 584-8224
Fax(410) 584-8225
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1990
Enumeration DateJune 14, 2007
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1003011636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MD · TA1092
Definition
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.
118 SHAWAN RD STE S, Hunt Valley, MD 21030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Smeriglio O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163673096
PECOS Enrollment IDI20121127000120
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Smeriglio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myeyedr Optometry Of Maryland LLC
0.1 mi
Optometrist
118 SHAWAN RD
Hunt Valley, MD 21030
  • Reassigned Medicare billing, Maryland enrollment
  • 253 clinicians in this Medicare group
NPI 1902212996 (410) 584-8224
Canton Crossing Optometry, LLC
16 mi
Optometrist
3715 BOSTON ST
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 33 clinicians in this Medicare group
NPI 1326474263 (443) 839-0335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Smeriglio's NPI number?

The NPI number for James Smeriglio is 1003011636. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is James Smeriglio located?

James Smeriglio practices at 118 Shawan Rd Ste S, Hunt Valley, MD 21030. The listed phone number is (410) 584-8224.

What is James Smeriglio's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Smeriglio enrolled in Medicare?

Yes. James Smeriglio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Smeriglio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Smeriglio reassigns Medicare benefits to 2 organizations: Myeyedr Optometry Of Maryland LLC (Hunt Valley, MD) and Canton Crossing Optometry, LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Smeriglio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Smeriglio accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list James Smeriglio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Smeriglio was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.