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DR. STEPHEN REILLY SMITH MD
NPI 1063402295
Ophthalmology in Austin, TX

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
99.68/100
CMS Quality Rating
7200 N MOPAC EXPY, SUITE 200, AUSTIN, TX 78731(512) 241-1806(512) 623-7892 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen Reilly Smith Md NPPES

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

DR. STEPHEN REILLY SMITH MD (NPI 1063402295) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (M4952) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2001).

NPPES Registry Identity

NPI1063402295
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN REILLY SMITHCredential: MD
Location Address7200 N MOPAC EXPY, SUITE 200Austin, TX 78731-3069
Mailing Address7200 N Mopac Expy, Suite 200Austin, TX 78731-3069 · (512) 241-1806 · Fax (512) 623-7892
Phone(512) 241-1806
Fax(512) 623-7892
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2001
Enumeration DateOctober 27, 2005
Last NPPES UpdateApril 12, 2012
✔ NPI 1063402295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · M4952
Definition
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.
7200 N MOPAC EXPY, Austin, TX 78731
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Other Identifiers 6

Medicare PINTXB140972TX
OtherP01010506Rr Medicare
Medicare PINP00353271
Medicare UPINI35782TX
Medicaid184558802TX
Medicaid66385865NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Reilly Smith Md 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 ID2264461433
PECOS Enrollment IDI20061031000042
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.

Areas of Expertise CMS Part B claims 8

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
10,260 services27 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
763 services318 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
446 services90 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
433 services285 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
376 services39 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
119 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.36
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%230 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%46 patients
Documentation of Current Medications in the Medical Record
100%1,739 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
90%67 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%80 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 657 patients
Patients totalRate: 0% · 657 patients
0%657 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY DEE FLEIGEL III D.M.D, M.S.
Dentist (Prosthodontics)
7200 N MOPAC EXPY, #215
AUSTIN, TX 78731
Travis County (512) 345-6081
CENTRAL TEXAS RETINA AND VITREOUS, P.A.
Ophthalmology
7200 N MOPAC EXPY, SUITE 200
AUSTIN, TX 78731
Travis County (512) 241-1806

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 Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1063402295. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Stephen Smith located?

Stephen Smith practices at 7200 N Mopac Expy Suite 200, Austin, TX 78731. The listed phone number is (512) 241-1806.

What is Stephen Smith's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stephen Smith enrolled in Medicare?

Yes. Stephen Smith 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.

What insurance does Stephen Smith accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Stephen Smith 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 Stephen Smith was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.