DR. SCOTT M SMETANA M.D.
NPI 1336105105
Ophthalmology in Colorado Springs, CO

Q: What is Scott Smetana's NPI number?

The NPI number for Scott Smetana is 1336105105. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Scott Smetana's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Smetana was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

96.76/100

CMS Quality Rating

2770 N UNION BLVD, SUITE 240, COLORADO SPRINGS, CO 80909(719) 471-2020(719) 633-7379 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Scott M Smetana M.d. NPPES

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

DR. SCOTT M SMETANA M.D. (NPI 1336105105) is an individual ophthalmology provider in Colorado Springs, Colorado, licensed in Colorado (42437) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2000).

NPPES Registry Identity

NPI1336105105

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SCOTT M SMETANACredential: M.D.

Location Address2770 N UNION BLVD, SUITE 240Colorado Springs, CO 80909-1120

Mailing Address2770 N Union Blvd, Suite 240Colorado Springs, CO 80909-1120 · (719) 471-2020 · Fax (719) 633-7379

Phone(719) 471-2020

Fax(719) 633-7379

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2000

Enumeration DateApril 21, 2006

Last NPPES UpdateMay 12, 2015

✔ NPI 1336105105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CO · 42437

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.

2770 N UNION BLVD, Colorado Springs, CO 80909

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Other Identifiers 5

Other0362080001CO · Palmetto Gba

OtherP00167767CO · Railroad Medicare

Medicare UPINI09449CO

Medicare PINC539458CO

Medicaid33973873CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Scott M Smetana 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 ID6204806821

PECOS Enrollment IDI20040729001121

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 15

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.

963 services936 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.

337 services279 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

278 services179 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.

249 services155 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.

247 services244 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.

198 services191 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.

156 services156 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.

133 services129 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).

123 services121 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.

86 services86 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

56 services50 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.

36 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

21 services21 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

96.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

89.2

Other Providers at the Same Location NPPES 18

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

DR. DEAN WILLIAM CARLSON M.D.

Ophthalmology

2770 N UNION BLVD, SUITE 240
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-2020

DR. STEVEN DEWEY MD

Ophthalmology

2770 N UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80909

El Paso County (719) 632-3547

DR. CLAYTON LEE FALKNOR MD

Ophthalmology (Cornea and External Diseases Specialist)

2770 N UNION BLVD, SUITE #240
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-2020

DR. JAMES K LUU M.D.

Ophthalmology (Retina Specialist)

2770 N UNION BLVD, SUITE 140
COLORADO SPRINGS, CO 80909

El Paso County (719) 473-9595

MRS. MARTA L HOLLEY O.D.

Optometrist

2770 N UNION BLVD, SUITE 240
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-2020

FACIAL ASSOCIATES OF COLORADO FOR EMERGENCY SERVICES, PLLC

Surgery (Trauma Surgery)

2770 N UNION BLVD, 100
COLORADO SPRINGS, CO 80909

El Paso County (719) 329-0040

RONALD W PELTON MD PHD PC

Ophthalmology

2770 N UNION BLVD, SUITE 100
COLORADO SPRINGS, CO 80909

El Paso County (719) 329-0040

DR. JONATHAN GERALD WILLIAMS M.D.

Ophthalmology (Retina Specialist)

2770 N UNION BLVD, SUITE 140
COLORADO SPRINGS, CO 80909

El Paso County (719) 473-9595

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 Scott Smetana's NPI number?

The NPI number for Scott Smetana is 1336105105. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Scott Smetana located?

Scott Smetana practices at 2770 N Union Blvd Suite 240, Colorado Springs, CO 80909. The listed phone number is (719) 471-2020.

What is Scott Smetana's specialty?

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

Is Scott Smetana enrolled in Medicare?

Yes. Scott Smetana 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 Scott Smetana accept?

Health plans from Providence Health Plan list Scott Smetana 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 Scott Smetana was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.