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SCOTT H SMITH MD
NPI 1750355442
Ophthalmology in Waco, TX

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.98/100
CMS Quality Rating
5002 LAKELAND CIR, STE A, WACO, TX 76710(254) 752-2571(254) 752-0699 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Feb 18, 2016 (2 updates tracked since 2016).

About Scott H Smith Md NPPES

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

SCOTT H SMITH MD (NPI 1750355442) is an individual ophthalmology provider in Waco, Texas, licensed in Texas (H9572) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1990).

NPPES Registry Identity

NPI1750355442
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSCOTT H SMITHCredential: MD
Location Address5002 LAKELAND CIR, STE AWaco, TX 76710-2976
Mailing Address5002 Lakeland Cir, Ste AWaco, TX 76710-2976 · (254) 752-2571 · Fax (254) 752-0699
Phone(254) 752-2571
Fax(254) 752-0699
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1990
Enumeration DateFebruary 17, 2006
Last NPPES UpdateAugust 31, 20222 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1750355442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · H9572
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.
Also ListedSpecialistTaxonomy 174400000X
5002 LAKELAND CIR, Waco, TX 76710
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Other Identifiers 1

Medicaid034690702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Scott H Smith Md 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 ID7517957962
PECOS Enrollment IDI20040717000030
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 5

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.
355 services343 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.
309 services169 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.
227 services191 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.
148 services134 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.96
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%87 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%21 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%60 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%2,037 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
100%246 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%376 patients
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.

Other Providers at the Same Location NPPES

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

JAMES WILLIAM SMITH MD
Ophthalmology
5002 LAKELAND CIR, STE A
WACO, TX 76710
McLennan County (254) 752-2571

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 Smith's NPI number?

The NPI number for Scott Smith is 1750355442. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Scott Smith located?

Scott Smith practices at 5002 Lakeland Cir Ste A, Waco, TX 76710. The listed phone number is (254) 752-2571.

What is Scott Smith's specialty?

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

Is Scott Smith enrolled in Medicare?

Yes. Scott 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 Scott Smith accept?

Health plans from Blue Cross and Blue Shield of Texas list Scott 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 Scott Smith was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.