DR. PAUL W. SMITH OD
NPI 1912937251
Optometrist in Merced, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
780 W OLIVE AVE, SUITE 103, MERCED, CA 95348(209) 384-2101(209) 384-8023 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul W. Smith Od NPPES

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

DR. PAUL W. SMITH OD (NPI 1912937251) is an individual optometrist in Merced, California, licensed in California (09431T) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1990).

NPPES Registry Identity

NPI1912937251
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL W. SMITHCredential: OD
Location Address780 W OLIVE AVE, SUITE 103Merced, CA 95348-2437
Mailing Address780 W Olive Ave, Suite 103Merced, CA 95348-2437 · (209) 384-2101 · Fax (209) 384-8023
Fax(209) 384-8023
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 1990
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1912937251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 09431T
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 09431T (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 09431T (CA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 09431T (CA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 09431T (CA)
780 W OLIVE AVE, Merced, CA 95348

Other Identifiers 4

MedicaidSD0094310CA
Medicare NSC5750680001CA
Medicare UPINU29356CA
Medicare ID-Type UnspecifiedSD0094310CA

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. Paul W. 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 ID9739288788
PECOS Enrollment IDI20070615000616
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.

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.
360 services356 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
230 services187 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
225 services192 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.
214 services214 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.
157 services132 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.
119 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95348 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.2
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%163 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
91%53 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,951 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%89 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 407 patients
98%407 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%99 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 645 patients
Patients totalRate: 0% · 645 patients
0%645 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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Pulmonary Disease)
780 W OLIVE AVE, STE 103
MERCED, CA 95348
Clinic/Center (Hearing and Speech)
780 W OLIVE AVE, SUITE 100
MERCED, CA 95348
Hearing Instrument Specialist
780 W OLIVE AVE, SUITE 100
MERCED, CA 95348

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 Paul Smith's NPI number?

The NPI number for Paul Smith is 1912937251. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Paul Smith located?

Paul Smith practices at 780 W Olive Ave Suite 103, Merced, CA 95348. The listed phone number is (209) 384-2101.

What is Paul Smith's specialty?

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

Is Paul Smith enrolled in Medicare?

Yes. Paul 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 Paul Smith accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Paul 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 Paul Smith was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.