CHARLENE SMITH MD
NPI 1902877780
Ophthalmology in Livingston, TX

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
76.57/100
CMS Quality Rating
1601 HIGHWAY 59 LOOP N STE 100, LIVINGSTON, TX 77351(936) 327-3937(936) 327-7847 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlene Smith Md NPPES

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

CHARLENE SMITH MD (NPI 1902877780) is an individual ophthalmology provider in Livingston, Texas, licensed in Texas (G3795) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Livingston, and is a graduate of University Of Texas Medical School At San Antonio (1982).

NPPES Registry Identity

NPI1902877780
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCHARLENE SMITHCredential: MD
Location Address1601 HIGHWAY 59 LOOP N STE 100Livingston, TX 77351-6687
Mailing AddressPo Box 4346, Dept 368Houston, TX 77210-4346 · (936) 327-3937 · Fax (936) 327-7847
Fax(936) 327-7847
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1982
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1902877780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · G3795
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.
1601 HIGHWAY 59 LOOP N STE 100, Livingston, TX 77351

Other Identifiers 1

Medicaid132092107TX

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

Charlene 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 ID7214009877
PECOS Enrollment IDI20080626000618
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 6

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 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.
483 services205 patients
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.
199 services134 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).
188 services180 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.
103 services102 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.
24 services23 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77351 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.

76.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.23
Promoting Interoperability77
Improvement Activities40
Cost86.85

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
1601 HIGHWAY 59 LOOP N STE 100
LIVINGSTON, TX 77351
Optometrist
1601 HIGHWAY 59 LOOP N STE 100
LIVINGSTON, TX 77351

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 Charlene Smith's NPI number?

The NPI number for Charlene Smith is 1902877780. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Charlene Smith located?

Charlene Smith practices at 1601 Highway 59 Loop N Ste 100, Livingston, TX 77351. The listed phone number is (936) 327-3937.

What is Charlene Smith's specialty?

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

Is Charlene Smith enrolled in Medicare?

Yes. Charlene 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 Charlene Smith accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Charlene 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 Charlene Smith affiliated with any hospitals?

According to CMS data, Charlene Smith is affiliated with Chi St Lukes Health Memorial Livingston.

When was this NPI record last updated?

The NPPES record for Charlene Smith was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.