J. KYLE SMITH O.D.
NPI 1184674152
Optometrist in Fort Bragg, CA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
450 N MCPHERSON ST, FORT BRAGG, CA 95437(707) 964-5927(707) 964-6533 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About J. Kyle Smith O.d. NPPES

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

J. KYLE SMITH O.D. (NPI 1184674152) is an individual optometrist in Fort Bragg, California, licensed in California (11804) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2001).

NPPES Registry Identity

NPI1184674152
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJ. KYLE SMITHCredential: O.D.
Location Address450 N MCPHERSON STFort Bragg, CA 95437-3314
Mailing Address450 N Mcpherson StFort Bragg, CA 95437-3314 · (707) 964-5927 · Fax (707) 964-6533
Fax(707) 964-6533
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2001
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
NPI 1184674152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 11804
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 11804 (CA)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 11804 (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 11804 (CA)
450 N MCPHERSON ST, Fort Bragg, CA 95437

Other Identifiers 4

Other410048777CA · Rrmcare
OtherRR3046CA · Rr Medicare
MedicaidSD0118040CA
Medicaid5187135CA

Accepted 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

J. Kyle Smith 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 ID4183604747
PECOS Enrollment IDI20040723000258
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
304 services301 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services106 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
153 services153 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
51 services49 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.
44 services41 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95437 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%21 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

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

Counselor (Mental Health)
450 N MCPHERSON ST
FORT BRAGG, CA 95437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184674152, enumerated as an "individual" on May 11, 2006.

The provider is located at 450 N MCPHERSON ST FORT BRAGG, CA 95437 and the phone number is (707) 964-5927.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.