DR. STEPHEN E SMITH M.D.
NPI 1366438855
Ophthalmology in Fort Myers, FL

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
4225 EVANS AVE, FORT MYERS, FL 33901(239) 936-8655(239) 936-8683 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen E Smith M.d. NPPES

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

DR. STEPHEN E SMITH M.D. (NPI 1366438855) is an individual ophthalmology provider in Fort Myers, Florida, licensed in Florida (ME75617) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (1993).

NPPES Registry Identity

NPI1366438855
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN E SMITHCredential: M.D.
Location Address4225 EVANS AVEFort Myers, FL 33901-9311
Mailing Address4225 Evans AveFort Myers, FL 33901-9311 · (239) 936-8655 · Fax (239) 936-8683
Fax(239) 936-8683
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 1993
Enumeration DateSeptember 21, 2005
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1366438855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME75617
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.
4225 EVANS AVE, Fort Myers, FL 33901

Other Identifiers 1

Medicaid254549702FL

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. Stephen E 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 ID8224011762
PECOS Enrollment IDI20040610000655
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 19

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.
1,198 services824 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.
601 services545 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.
447 services262 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.
396 services380 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.
184 services174 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.
182 services182 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.42
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%430 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,111 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
86%646 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%370 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,986 patients
Patients totalRate: 0% · 1,986 patients
0%1,986 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$50.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
4225 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology
4225 EVANS AVE
FORT MYERS, FL 33901

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 Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1366438855. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Stephen Smith located?

Stephen Smith practices at 4225 Evans Ave, Fort Myers, FL 33901. The listed phone number is (239) 936-8655.

What is Stephen Smith's specialty?

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

Is Stephen Smith enrolled in Medicare?

Yes. Stephen 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 Stephen Smith accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and UnitedHealthcare list Stephen 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 Stephen Smith was last updated on February 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.