1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Ophthalmology
  6. NPI Profile

STACY RUTH SMITH M.D.
NPI 1639348899
Ophthalmology in Salt Lake City, UT

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
79.62/100
CMS Quality Rating
1548 E 4500 S STE 105, SALT LAKE CITY, UT 84117(801) 424-3090(801) 424-3091 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacy Ruth Smith M.d. NPPES

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

STACY RUTH SMITH M.D. (NPI 1639348899) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (6024879-1205) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Heber Valley Hospital, and is a graduate of University Of Utah School Of Medicine (2003).

NPPES Registry Identity

NPI1639348899
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSTACY RUTH SMITHCredential: M.D.
Location Address1548 E 4500 S STE 105Salt Lake City, UT 84117-5209
Mailing AddressPo Box 27688Salt Lake City, UT 84127-0688 · (801) 534-1360 · Fax (801) 366-9883
Phone(801) 424-3090
Fax(801) 424-3091
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003
Enumeration DateFebruary 21, 2008
Last NPPES UpdateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
✔ NPI 1639348899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in UT · 6024879-1205
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.
1548 E 4500 S STE 105, Salt Lake City, UT 84117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Stacy Ruth 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 ID5991882045
PECOS Enrollment IDI20080414000435
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 13

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.
475 services447 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.
345 services116 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.
275 services162 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
240 services43 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
186 services18 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).
108 services108 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

79.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40
Cost72.09

Other Providers at the Same Location NPPES

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

DR. ADAM M BOWMAN MD
Ophthalmology
1548 E 4500 S STE 105
SALT LAKE CITY, UT 84117
Salt Lake County (014) 243-0908

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 Stacy Smith's NPI number?

The NPI number for Stacy Smith is 1639348899. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Stacy Smith located?

Stacy Smith practices at 1548 E 4500 S Ste 105, Salt Lake City, UT 84117. The listed phone number is (801) 424-3090.

What is Stacy Smith's specialty?

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

Is Stacy Smith enrolled in Medicare?

Yes. Stacy 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 Stacy Smith accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Stacy 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.

Is Stacy Smith affiliated with any hospitals?

According to CMS data, Stacy Smith is affiliated with Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Smith was last updated on January 21, 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.