Active NPI 1558419325 Individual Practitioner Male Practitioner

Dr. Robert Carl Smith , OD

Optometrist • Marion, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Smith, OD is a certified Optometrist practicing in Marion, IL. With approximately 20 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2006, Dr. Smith delivers high-quality medical care to the local community at 1200 W DEYOUNG ST.

Dr. Smith is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1200 W Deyoung St

Marion, IL 629594437

Telephone 6189935686

Fax 6189976250

Associated Practice Facility / Clinic

🏢 Marion Eye Centers Ltd. Facility NPI 1508865643

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marion, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

23 Specialists

Practicing in Marion, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (20 Years) 20 Yrs

Marion Specialty Average (21.1 Years) 21.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	485	273	$413.37	$87.73
92014 Established patient complete exam of visual system	300	289	$395.37	$119.29
92134 Imaging of retina	229	175	$185.25	$38.12
92004 New patient complete exam of visual system	150	150	$397.01	$138.97
92083 Exam of visual field with extended testing	130	117	$335.00	$58.97
92133 Imaging of optic nerve	127	116	$172.28	$32.88
92020 Examination of cornea and iris using lens device and slit lamp	33	33	$132.00	$25.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	27	26	$73.00	$15.67
76514 Ultrasound scan of cornea to determine thickness	18	18	$206.00	$10.38
92002 New patient problem focused exam of visual system	16	16	$290.75	$80.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$766.07	$163.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$583.38	$125.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	419	239	$382.00	$86.87
92014 Established patient complete exam of visual system	232	227	$320.00	$119.80
92134 Imaging of retina	158	127	$183.00	$38.35
92004 New patient complete exam of visual system	154	153	$320.00	$141.25
92133 Imaging of optic nerve	129	119	$170.00	$33.34
92083 Exam of visual field with extended testing	129	112	$335.00	$58.58
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$132.00	$25.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$741.00	$162.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$496.00	$109.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$555.00	$124.20
76514 Ultrasound scan of cornea to determine thickness	15	15	$206.00	$9.84
92002 New patient problem focused exam of visual system	12	12	$245.00	$81.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	127	$344.56	$87.87
92004 New patient complete exam of visual system	118	118	$283.84	$143.35
92134 Imaging of retina	84	74	$183.00	$38.07
92014 Established patient complete exam of visual system	78	77	$292.87	$120.42
92133 Imaging of optic nerve	57	56	$170.00	$34.43
92083 Exam of visual field with extended testing	50	47	$335.00	$59.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$660.10	$159.17
92002 New patient problem focused exam of visual system	20	20	$215.05	$82.30
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$132.00	$26.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$507.32	$123.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,128	25	$1.78	$1.17
99213 Established patient office or other outpatient visit, typically 15 minutes	227	166	$120.22	$89.23
92014 Established patient complete exam of visual system	150	150	$138.04	$121.94
92004 New patient complete exam of visual system	90	90	$206.07	$145.12
92133 Imaging of optic nerve	87	87	$76.03	$35.48
92134 Imaging of retina	84	82	$101.67	$39.44
92250 Photography of the retina	65	65	$87.00	$37.59
92083 Exam of visual field with extended testing	50	48	$153.70	$60.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$615.00	$165.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$183.50	$125.99
92002 New patient problem focused exam of visual system	11	11	$152.73	$82.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,134	45	$1.83	$1.25
99213 Established patient office or other outpatient visit, typically 15 minutes	281	175	$89.00	$73.41
92014 Established patient complete exam of visual system	256	253	$127.00	$122.05
92250 Photography of the retina	134	128	$87.00	$43.21
92004 New patient complete exam of visual system	103	103	$161.00	$145.83
92134 Imaging of retina	93	86	$61.00	$39.49
92133 Imaging of optic nerve	76	73	$61.00	$35.87
92083 Exam of visual field with extended testing	57	50	$90.00	$60.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$120.00	$106.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,241	33	$1.78	$1.40
99213 Established patient office or other outpatient visit, typically 15 minutes	412	270	$89.00	$72.50
92014 Established patient complete exam of visual system	184	175	$127.00	$122.53
92134 Imaging of retina	133	107	$61.00	$39.69
92004 New patient complete exam of visual system	104	104	$161.00	$146.58
92250 Photography of the retina	101	97	$87.00	$48.48
92133 Imaging of optic nerve	88	83	$61.00	$35.94
92083 Exam of visual field with extended testing	79	74	$90.00	$61.39
83861 Microfluid analysis of tears	43	19	$35.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$120.00	$106.32
92002 New patient problem focused exam of visual system	20	20	$90.00	$81.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	7,105	51	$1.80	$1.37
99213 Established patient office or other outpatient visit, typically 15 minutes	413	288	$89.00	$70.33
92134 Imaging of retina	156	128	$61.00	$39.82
92014 Established patient complete exam of visual system	132	132	$127.00	$119.65
92004 New patient complete exam of visual system	117	117	$161.00	$145.20
92083 Exam of visual field with extended testing	77	73	$90.00	$60.81
92133 Imaging of optic nerve	67	62	$61.00	$36.06
92250 Photography of the retina	65	63	$87.00	$53.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	56	$120.00	$103.76
92002 New patient problem focused exam of visual system	16	16	$90.00	$79.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,309	38	$1.90	$1.34
99213 Established patient office or other outpatient visit, typically 15 minutes	288	189	$89.00	$68.82
92134 Imaging of retina	120	93	$61.00	$38.18
92004 New patient complete exam of visual system	73	72	$161.00	$139.12
92014 Established patient complete exam of visual system	71	67	$127.00	$115.36
92133 Imaging of optic nerve	46	44	$61.00	$34.83
92083 Exam of visual field with extended testing	43	41	$90.00	$59.10
92012 Established patient problem focused exam of visual system	24	24	$93.00	$79.61
92002 New patient problem focused exam of visual system	22	22	$90.00	$75.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$120.00	$100.83
92250 Photography of the retina	20	19	$87.00	$60.32

Medical Specialties & State Licenses

CMS Verified: 2021-06-15

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.009880

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046009880 (IL)

Commercial Insurance / Payer ID Medicare Nsc Number

0814870028 (IL)

Commercial Insurance / Payer ID Medicare Nsc Number

0814870001 (IL)

Commercial Insurance / Payer ID Medicare Nsc Number

0814870031 (IL)

Commercial Insurance / Payer ID Medicare Nsc Number

0814870029 (IL)

Commercial Insurance / Payer ID Health Alliance

133825

Commercial Insurance / Payer ID Medicare Railroad

P00418703 (IL)

Commercial Insurance / Payer ID Eyemed

IL9880

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Springfield Clinic, Llp

4525 Wabash Ave, Springfield, IL 627117038

Phone: 2175287541

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Emily Smith , OD

Optometrist

NPI 1013117159

Doctor of Optometry

Dr. Erin Hocking Ayers , OD

Optometrist

NPI 1063709731

Doctor of Optometry

Dr. Micah Brasel , OD

Optometrist

NPI 1083924740

Doctor of Optometry

Dr. Faisel Ahmad , MD

Ophthalmology - Retina Specialist

NPI 1154543916

Doctor of Medicine (M.D.)

Dr. Jimmy Elam , OD

Optometrist

NPI 1194718379

Doctor of Optometry

Dr. Dirk Bochner , OD

Optometrist

NPI 1194806034

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 15, 2021

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

✅

NPI Profile Active October 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2008

Registered at 1200 W DEYOUNG ST, MARION, IL 629594437 (Tel: 6189935686)

📍

Updated Business Mailing Address October 06, 2008

Registered at 1200 W DEYOUNG ST, MARION, IL 629594437 (Tel: 6189935686)

👤

Provider Name / Credentials Updated October 06, 2008

Recorded as ROBERT SMITH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2008

Optometrist (License #046.009880 in IL)

🟢

Initial NPI Registration & Enumeration January 08, 2007

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: 1558419325

Entity Type:

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

Enumeration Date: January 08, 2007

Last Update: June 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

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.