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KEVIN SMITH OD
NPI 1013843275
Optometrist in Penn Yan, NY

Active since June 23, 2026PECOS Enrolled
163 MAIN ST, PENN YAN, NY 14527(315) 536-9941 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Smith Od NPPES

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

KEVIN SMITH OD (NPI 1013843275) is an individual optometrist in Penn Yan, New York, licensed in New York (ORT011389) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1013843275
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN SMITHCredential: OD
Location Address163 MAIN STPenn Yan, NY 14527-1284
Mailing Address163 Main StPenn Yan, NY 14527-1284 · (315) 536-9941
Phone(315) 536-9941
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1013843275 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 NY · ORT011389
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.
163 MAIN ST, Penn Yan, NY 14527
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Smith Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133686314
PECOS Enrollment IDI20260807000009
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 Reassignment

Medicare enrollment records show Kevin Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Penn Yan Optometry PC
Same address
Eyewear Supplier
163 MAIN ST
Penn Yan, NY 14527
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1275600496 (315) 536-9941

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14527 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW PAUL SMITH O.D.
Optometrist
163 MAIN ST
PENN YAN, NY 14527
Yates County (315) 536-9941
PENN YAN OPTOMETRY PC
Eyewear Supplier
163 MAIN ST
PENN YAN, NY 14527
Yates County (315) 536-9941
CAROLYN K ANDERSON OD
Optometrist
163 MAIN ST
PENN YAN, NY 14527
Yates County (315) 536-9941

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 Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1013843275. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Kevin Smith located?

Kevin Smith practices at 163 Main St, Penn Yan, NY 14527. The listed phone number is (315) 536-9941.

What is Kevin Smith's specialty?

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

Is Kevin Smith enrolled in Medicare?

Yes. Kevin Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Smith reassigns Medicare benefits to Penn Yan Optometry PC (Penn Yan, NY). The 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 Kevin Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.