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DR. KENNETH RANDALL SMITH M.D.
NPI 1225152192
Ophthalmology in Birmingham, AL

Active since March 18, 2007PECOS EnrolledAccepts Medicare Assignment
92.11/100
CMS Quality Rating
833 SAINT VINCENTS DR STE 207, BIRMINGHAM, AL 35205(205) 591-2311(205) 930-9222 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Randall Smith M.d. NPPES

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

DR. KENNETH RANDALL SMITH M.D. (NPI 1225152192) is an individual ophthalmology provider in Birmingham, Alabama, licensed in Alabama (MD.29630) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2004).

NPPES Registry Identity

NPI1225152192
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH RANDALL SMITHCredential: M.D.
Location Address833 SAINT VINCENTS DR STE 207Birmingham, AL 35205-1609
Mailing Address833 Saint Vincents Dr Ste 207Birmingham, AL 35205-1609 · (205) 591-2311 · Fax (205) 930-9222
Phone(205) 591-2311
Fax(205) 930-9222
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2004
Enumeration DateMarch 18, 2007
Last NPPES UpdateMay 7, 2019
✔ NPI 1225152192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in AL · MD.29630✔ Licensed in TX · M2116✔ Licensed in FL · ME100306
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.
833 SAINT VINCENTS DR STE 207, Birmingham, AL 35205
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Other Identifiers 1

Other6360390001AL · Medicare Nsc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Kenneth Randall Smith M.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 ID7719050574
PECOS Enrollment IDI20090924000042
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 11

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.

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.
529 services352 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).
109 services85 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.
101 services99 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
87 services47 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
79 services40 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.
79 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

92.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.33
Improvement Activities40
Cost95.94

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
100%82 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%310 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%412 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.

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1225152192. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Kenneth Smith located?

Kenneth Smith practices at 833 Saint Vincents Dr Ste 207, Birmingham, AL 35205. The listed phone number is (205) 591-2311.

What is Kenneth Smith's specialty?

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

Is Kenneth Smith enrolled in Medicare?

Yes. Kenneth 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 Kenneth Smith accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kenneth 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 Kenneth Smith was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.