Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184674152 Individual Practitioner Male Practitioner

Dr. J. Kyle Smith , OD

Optometrist • Fort Bragg, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. J. Smith, OD is a certified Optometrist practicing in Fort Bragg, CA. With approximately 25 years of clinical experience since graduating from University Of California - School Of Optometry in 2001, Dr. Smith delivers high-quality medical care to the local community at 450 N MCPHERSON ST.

Dr. Smith is affiliated with Mendocino Coast Clinics, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 N Mcpherson St

Fort Bragg, CA 954373314

Telephone 7079645927
Fax 7079646533

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Bragg, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs -5.5 yrs vs City Avg
City Avg: 30.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Fort Bragg, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (25 Years) 25 Yrs
Fort Bragg Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
281 280 $130.00 $128.34
99213 Established patient office or other outpatient visit, typically 15 minutes
134 81 $90.00 $88.78
92004 New patient complete exam of visual system
77 77 $150.00 $148.20
92133 Imaging of optic nerve
53 52 $75.00 $38.28
92083 Exam of visual field with extended testing
36 34 $95.00 $67.43
92134 Imaging of retina
23 23 $75.00 $42.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 16 $60.00 $58.52

Medical Specialties & State Licenses

CMS Verified: 2023-10-23
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 11804

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License CA 11804

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License CA 11804

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License CA 11804

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0118040 (CA)
Medicaid State Provider ID
5187135 (CA)
Commercial Insurance / Payer ID Rrmcare
410048777 (CA)
Commercial Insurance / Payer ID Rr Medicare
RR3046 (CA)

Hospital & Practice Group Affiliations

Mendocino Coast Clinics, Inc

205 S St, Fort Bragg, CA 954375540

Phone: 7079641251

Secondary Practice Locations

421 March Ave Ste A

Healdsburg, CA 954483367

Phone: 7074335020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lindsay Wansbury , MFT

Counselor - Mental Health

NPI 1447366364

Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2023

Optometrist (License #11804 in CA)

NPI Profile Active December 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2008

Registered at 450 N MCPHERSON ST, FORT BRAGG, CA 954373314 (Tel: 7079645927)

📍
Updated Business Mailing Address December 16, 2008

Registered at 450 N MCPHERSON ST, FORT BRAGG, CA 954373314 (Tel: 7079645927)

👤
Provider Name / Credentials Updated December 16, 2008

Recorded as J. SMITH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2008

Optometrist (License #11804 in CA)

🟢
Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. J. Smith. Be the first to share your experience!

Sign in to leave a review for Dr. J. Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1184674152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: October 23, 2023
Sole Proprietor: Yes

Mailing Address

450 N Mcpherson St

Fort Bragg, CA 954373314

Phone: 7079645927

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.