Active NPI 1548431315 Individual Practitioner Male Practitioner

Dr. Sanjay Nedal Smith , MD

Ophthalmology • South Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Smith, MD is a certified Ophthalmology practicing in South Miami, FL. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Smith delivers high-quality medical care to the local community at 5858 SW 68TH ST.

Dr. Smith is affiliated with A James Segal Md Pa Medeyeassociates and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of eye disease, growth, or structure, established patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5858 Sw 68th St

South Miami, FL 331433693

Telephone 3056618588

Fax 3056614906

Associated Practice Facility / Clinic

🏢 A James Segal Md Pa Medeyeassociates Facility NPI 1710907522

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in South Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

15 Specialists

Practicing in South Miami, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (22 Years) 22 Yrs

South Miami Specialty Average (21.8 Years) 21.8 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
76512 Ultrasound of eye disease, growth, or structure	423	153	$160.00	$45.95
92014 Established patient complete exam of visual system	235	157	$288.62	$127.56
92133 Imaging of optic nerve	144	127	$89.17	$34.52
92083 Exam of visual field with extended testing	131	110	$152.37	$64.39
92134 Imaging of retina	108	97	$99.33	$38.06
99213 Established patient office or other outpatient visit, typically 15 minutes	79	66	$222.09	$95.33
92235 Exam of retinal blood vessels using a special camera after injection of a dye	62	57	$373.87	$163.84
92250 Photography of the retina	46	41	$120.00	$35.23
92004 New patient complete exam of visual system	30	30	$347.00	$150.98
76519 Ultrasound of eye for determination of lens power	25	14	$164.08	$35.43
66984 Removal of cataract with insertion of lens	22	13	$2500.00	$496.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$316.43	$134.46
76514 Ultrasound scan of cornea to determine thickness	19	19	$50.00	$11.40
92012 Established patient problem focused exam of visual system	16	13	$188.38	$89.98
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$62.00	$27.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	332	134	$160.00	$46.65
92014 Established patient complete exam of visual system	241	164	$179.88	$129.55
92133 Imaging of optic nerve	129	114	$80.00	$35.54
92134 Imaging of retina	120	101	$83.00	$38.46
92083 Exam of visual field with extended testing	114	104	$106.49	$64.24
92012 Established patient problem focused exam of visual system	66	46	$139.09	$91.35
92235 Exam of retinal blood vessels using a special camera after injection of a dye	52	45	$219.23	$137.60
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$170.75	$95.36
76519 Ultrasound of eye for determination of lens power	38	19	$150.00	$34.04
92250 Photography of the retina	31	30	$120.00	$36.02
76514 Ultrasound scan of cornea to determine thickness	24	24	$50.00	$11.77
92004 New patient complete exam of visual system	18	18	$249.17	$152.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	255	113	$160.00	$47.46
92014 Established patient complete exam of visual system	203	145	$175.00	$131.85
92012 Established patient problem focused exam of visual system	162	105	$120.00	$93.42
92083 Exam of visual field with extended testing	131	117	$100.00	$64.81
92133 Imaging of optic nerve	130	120	$80.00	$36.08
92134 Imaging of retina	81	71	$80.00	$39.56
92235 Exam of retinal blood vessels using a special camera after injection of a dye	66	57	$200.00	$129.87
92250 Photography of the retina	59	54	$120.00	$36.41
76519 Ultrasound of eye for determination of lens power	33	17	$150.00	$58.65
76514 Ultrasound scan of cornea to determine thickness	25	25	$50.00	$12.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$140.00	$135.69
66984 Removal of cataract with insertion of lens	20	14	$2500.00	$519.59
92004 New patient complete exam of visual system	19	19	$250.00	$155.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	297	129	$160.00	$49.23
92014 Established patient complete exam of visual system	216	148	$175.00	$133.02
92012 Established patient problem focused exam of visual system	185	116	$120.00	$94.35
92083 Exam of visual field with extended testing	142	120	$100.00	$65.97
92133 Imaging of optic nerve	141	120	$80.00	$36.60
92250 Photography of the retina	73	64	$120.00	$38.61
92134 Imaging of retina	52	44	$80.00	$40.31
76519 Ultrasound of eye for determination of lens power	40	26	$150.00	$59.95
66984 Removal of cataract with insertion of lens	32	22	$2500.00	$474.97
92004 New patient complete exam of visual system	28	28	$250.00	$157.33
92235 Exam of retinal blood vessels using a special camera after injection of a dye	20	19	$200.00	$122.60
76514 Ultrasound scan of cornea to determine thickness	20	19	$50.00	$12.47
92020 Examination of cornea and iris using lens device and slit lamp	16	14	$50.00	$29.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	261	117	$161.23	$52.27
92012 Established patient problem focused exam of visual system	188	122	$120.00	$91.49
92014 Established patient complete exam of visual system	149	122	$175.00	$131.70
92133 Imaging of optic nerve	118	105	$80.00	$36.60
92083 Exam of visual field with extended testing	110	99	$100.00	$65.68
92250 Photography of the retina	67	62	$120.00	$45.24
92134 Imaging of retina	36	34	$80.00	$39.85
76519 Ultrasound of eye for determination of lens power	31	26	$150.00	$69.12
66984 Removal of cataract with insertion of lens	30	20	$2500.00	$518.72
92004 New patient complete exam of visual system	26	26	$250.00	$155.37
92202 Extended exam of the back part of the eye with optic nerve drawing	19	19	$70.00	$16.76
76514 Ultrasound scan of cornea to determine thickness	13	13	$50.00	$13.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	374	164	$160.86	$59.84
92012 Established patient problem focused exam of visual system	259	142	$120.00	$91.93
92083 Exam of visual field with extended testing	146	130	$100.00	$66.54
92014 Established patient complete exam of visual system	141	108	$175.00	$132.52
92133 Imaging of optic nerve	135	120	$80.00	$36.30
92226 Examination of eye by ophthalmoscope with retinal drawing	83	41	$70.00	$26.56
92250 Photography of the retina	68	65	$120.00	$50.44
92004 New patient complete exam of visual system	66	66	$250.00	$157.92
92134 Imaging of retina	63	59	$80.00	$40.31
76519 Ultrasound of eye for determination of lens power	38	32	$150.00	$63.86
66984 Removal of cataract with insertion of lens	28	21	$2500.00	$564.27
92020 Examination of cornea and iris using lens device and slit lamp	26	21	$50.00	$28.67
92225 Examination of eye by ophthalmoscope with retinal drawing	24	12	$80.00	$28.64
92235 Exam of retinal blood vessels using a special camera after injection of a dye	22	21	$200.00	$94.98
76514 Ultrasound scan of cornea to determine thickness	18	18	$50.00	$13.52
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	12	12	$200.00	$138.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76512 Ultrasound of eye disease, growth, or structure	414	185	$165.41	$73.63
92012 Established patient problem focused exam of visual system	297	160	$120.00	$88.87
92083 Exam of visual field with extended testing	168	147	$100.00	$64.14
92014 Established patient complete exam of visual system	137	118	$175.00	$129.04
92133 Imaging of optic nerve	123	113	$80.00	$35.76
92250 Photography of the retina	102	95	$120.00	$53.98
92226 Examination of eye by ophthalmoscope with retinal drawing	97	46	$70.00	$25.36
92134 Imaging of retina	73	65	$80.00	$39.75
92004 New patient complete exam of visual system	72	72	$250.00	$153.85
92235 Exam of retinal blood vessels using a special camera after injection of a dye	34	33	$200.00	$86.53
92020 Examination of cornea and iris using lens device and slit lamp	31	24	$50.00	$27.20
76514 Ultrasound scan of cornea to determine thickness	28	28	$50.00	$16.05
66984 Removal of cataract with insertion of lens	27	19	$2500.00	$545.87
92275 Recording of retinal electrical responses to external stimuli	27	26	$180.00	$151.32
76519 Ultrasound of eye for determination of lens power	26	21	$150.00	$68.65
92225 Examination of eye by ophthalmoscope with retinal drawing	26	13	$80.00	$27.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	251	134	$120.00	$84.99
76512 Ultrasound of eye disease, growth, or structure	243	120	$184.36	$101.88
92226 Examination of eye by ophthalmoscope with retinal drawing	167	68	$70.00	$24.85
92014 Established patient complete exam of visual system	151	110	$175.00	$124.15
92083 Exam of visual field with extended testing	148	126	$100.00	$61.42
92133 Imaging of optic nerve	105	98	$80.00	$35.57
92250 Photography of the retina	98	84	$120.00	$65.40
92134 Imaging of retina	68	66	$80.00	$39.59
92004 New patient complete exam of visual system	54	54	$250.00	$150.68
92235 Exam of retinal blood vessels using a special camera after injection of a dye	41	40	$219.51	$78.64
92020 Examination of cornea and iris using lens device and slit lamp	39	32	$50.00	$26.92
66984 Removal of cataract with insertion of lens	28	19	$2500.00	$612.25
92225 Examination of eye by ophthalmoscope with retinal drawing	27	14	$80.00	$27.01
76514 Ultrasound scan of cornea to determine thickness	27	27	$50.00	$15.55
76519 Ultrasound of eye for determination of lens power	22	19	$150.00	$77.68

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME 119977

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.

Hospital & Practice Group Affiliations

A James Segal Md Pa Medeyeassociates

8250 Nw 27th St, Doral, FL 331221904

Phone: 3056618588

A James Segal Md Pa Medeyeassociates

5858 Sw 68th St, South Miami, FL 331433693

Phone: 3056618588

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Alan Segal , MD

Ophthalmology

NPI 1063410595

Doctor of Medicine (M.D.)

Dr. Robert Ortiz , OD

Optometrist

NPI 1154679694

Doctor of Optometry

Dr. Jorge Bacallao , MD

Ophthalmology

NPI 1275549511

Doctor of Medicine (M.D.)

Dr. Patrick Brown , OD

Optometrist

NPI 1679181747

Doctor of Optometry

Dr. Jorge Bruno , MD

Ophthalmology

NPI 1710052097

Doctor of Medicine (M.D.)

Dr. Janis Dzelzkalns , MD

Ophthalmology

NPI 1801895172

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 08, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2018

Registered at 5858 SW 68TH ST, SOUTH MIAMI, FL 331433693 (Tel: 3056618588)

📍

Updated Business Mailing Address February 08, 2018

Registered at 5858 SW 68TH ST, SOUTH MIAMI, FL 331433693 (Tel: 3056618588)

👤

Provider Name / Credentials Updated February 08, 2018

Recorded as SANJAY SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2018

Ophthalmology (License #ME 119977 in FL)

✅

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2014

Registered at 5950 SUNSET DR, SOUTH MIAMI, FL 331435188 (Tel: 9146689890)

📍

Updated Business Mailing Address July 23, 2014

Registered at 5950 SUNSET DR, SOUTH MIAMI, FL 331435188 (Tel: 9146689890)

👤

Provider Name / Credentials Updated July 23, 2014

Recorded as SANJAY SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Ophthalmology (License #ME 119977 in FL)

🟢

Initial NPI Registration & Enumeration March 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548431315

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 19, 2008

Last Update: February 08, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5858 Sw 68th St

South Miami, FL 331433693

Phone: 3056618588

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.