DR. STEVENSON SANDER SMITH DMD
NPI 1083960793
Dentist - General Practice in Eugene, OR

Active since July 31, 2012Opted out of Medicare · through Dec 22, 2027
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401(541) 342-2477 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stevenson Sander Smith Dmd NPPES

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

DR. STEVENSON SANDER SMITH DMD (NPI 1083960793) is an individual general practice provider in Eugene, Oregon, licensed in Oregon (D9751) and active in the NPI registry since July 2012. He has opted out of Medicare through December 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083960793
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEVENSON SANDER SMITHCredential: DMD
Location Address911 COUNTRY CLUB RD STE 222Eugene, OR 97401-6046
Mailing Address911 Country Club Rd Ste 222Eugene, OR 97401-6046 · (801) 885-7639
Sole ProprietorNo
Enumeration DateJuly 31, 2012
NPI 1083960793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D9751
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
911 COUNTRY CLUB RD STE 222, Eugene, OR 97401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Stevenson Sander Smith Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 22, 2015 through December 22, 2027.

Opt-Out Effective DateDecember 22, 2015
Opt-Out In Effect ThroughDecember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 2

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

Clinic/Center (Dental)
911 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Dentist (General Practice)
911 COUNTRY CLUB RD STE 222
EUGENE, OR 97401

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 Stevenson Smith's NPI number?

The NPI number for Stevenson Smith is 1083960793. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Stevenson Smith located?

Stevenson Smith practices at 911 Country Club Rd Ste 222, Eugene, OR 97401. The listed phone number is (541) 342-2477.

What is Stevenson Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stevenson Smith enrolled in Medicare?

No. Stevenson Smith has opted out of Medicare through December 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stevenson Smith was last updated on July 31, 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.