DR. TONY SHAWN SMITH OD
NPI 1487655437
Optometrist in Mayfield, KY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
1225 PARIS RD, MAYFIELD, KY 42066(270) 251-2020(270) 247-8652 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tony Shawn Smith Od NPPES

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

DR. TONY SHAWN SMITH OD (NPI 1487655437) is an individual optometrist in Mayfield, Kentucky, licensed in Kentucky (1391DT) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1487655437
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TONY SHAWN SMITHCredential: OD
Location Address1225 PARIS RDMayfield, KY 42066-4989
Mailing Address1225 Paris RdMayfield, KY 42066-4989 · (270) 251-2020 · Fax (270) 247-8652
Fax(270) 247-8652
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateAugust 2, 2005
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1487655437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in KY · 1391DT
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.
1225 PARIS RD, Mayfield, KY 42066

Other Identifiers 1

Medicaid77013910KY

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. Tony Shawn Smith Od 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 ID3779592357
PECOS Enrollment IDI20060410000288
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 4

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.

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.
2,250 services15 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.
207 services207 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.
39 services39 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.
28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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%80 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 2

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
4 suppliers18 claims18 services$50.11 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims23 services$18.66 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 9

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

Technician/Technologist (Optician)
1225 PARIS RD
MAYFIELD, KY 42066
Technician/Technologist (Optician)
1225 PARIS RD
MAYFIELD, KY 42066
Pharmacist
1225 PARIS RD
MAYFIELD, KY 42066
Pharmacist
1225 PARIS RD
MAYFIELD, KY 42066
Technician/Technologist (Optician)
1225 PARIS RD
MAYFIELD, KY 42066
Pharmacist
1225 PARIS RD
MAYFIELD, KY 42066
Technician/Technologist (Optician)
1225 PARIS RD
MAYFIELD, KY 42066
Pharmacy (Community/Retail Pharmacy)
1225 PARIS RD
MAYFIELD, KY 42066

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 Tony Smith's NPI number?

The NPI number for Tony Smith is 1487655437. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Tony Smith located?

Tony Smith practices at 1225 Paris Rd, Mayfield, KY 42066. The listed phone number is (270) 251-2020.

What is Tony Smith's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tony Smith enrolled in Medicare?

Yes. Tony 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 Tony Smith accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Tony 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 Tony Smith was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.