DR. ELVEN CONRAD SMITH III O.D.
NPI 1215974548
Optometrist - Low Vision Rehabilitation in Rockingham, NC

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
720 E US HIGHWAY 74, STE A, ROCKINGHAM, NC 28379(910) 205-2020(910) 582-2030 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elven Conrad Smith Iii O.d. NPPES

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

DR. ELVEN CONRAD SMITH III O.D. (NPI 1215974548) is an individual low vision rehabilitation provider in Rockingham, North Carolina, licensed in North Carolina (1267) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1987).

NPPES Registry Identity

NPI1215974548
Entity TypeIndividualMale
Primary Taxonomy152WL0500X
Provider Legal NameDR. ELVEN CONRAD SMITH IIICredential: O.D.
Location Address720 E US HIGHWAY 74, STE ARockingham, NC 28379-7524
Mailing Address1502 E Broad Ave, Ste ARockingham, NC 28379-4908 · (910) 997-7737 · Fax (910) 997-7058
Fax(910) 582-2030
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1987
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1215974548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
Licenses Licensed in NC · 1267 Licensed in SC · 1182
Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Also ListedOptometristTaxonomy 152W00000X · License 1267 (NC)
720 E US HIGHWAY 74, Rockingham, NC 28379

Other Identifiers 4

Other1267NC · License #
Other1267NC · License#
Other1182SC · License #
Medicaid8909835NC

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

Dr. Elven Conrad Smith Iii 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 ID4284536830
PECOS Enrollment IDI20040123000403
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
133 services109 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
109 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
81 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 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.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28379 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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
90%86 patients4/55-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 9

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

Pharmacist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Pharmacist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Pharmacist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Optometrist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Pharmacist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Pharmacist
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Pharmacist (Ambulatory Care)
720 E US HIGHWAY 74
ROCKINGHAM, NC 28379
Optometrist
720 E US HIGHWAY 74, SUITE A
ROCKINGHAM, NC 28379

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 Elven Smith's NPI number?

The NPI number for Elven Smith is 1215974548. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Elven Smith located?

Elven Smith practices at 720 E Us Highway 74 Ste A, Rockingham, NC 28379. The listed phone number is (910) 205-2020.

What is Elven Smith's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Elven Smith enrolled in Medicare?

Yes. Elven 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 Elven Smith accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross Blue Shield of Wyoming and 7 other insurers list Elven 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 Elven Smith was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.