Active NPI 1487655437 Individual Practitioner Male Practitioner

Dr. Tony Shawn Smith , OD

Optometrist • Mayfield, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tony Smith, OD is a certified Optometrist practicing in Mayfield, KY. With approximately 29 years of clinical experience since graduating from Southern College Of Optometry in 1997, Dr. Smith delivers high-quality medical care to the local community at 1225 PARIS RD.

Dr. Smith accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1225 Paris Rd

Mayfield, KY 420664989

Telephone 2702512020

Fax 2702478652

Associated Practice Facility / Clinic

🏢 Wal-Mart Stores East Lp Facility NPI 1902823222

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mayfield, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +7.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Mayfield, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

1.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (29 Years) 29 Yrs

Mayfield Specialty Average (21.5 Years) 21.5 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
66984 Removal of cataract with insertion of lens	2,250	15	$2.20	$1.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	207	$50.00	$49.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$50.00	$49.44
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$50.00	$49.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,612	18	$2.35	$1.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	218	$50.00	$49.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$50.00	$49.48
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$50.00	$49.39
65778 Insertion of amniotic membrane to eye surface	24	15	$1459.00	$1160.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,873	18	$2.34	$1.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	227	$50.00	$49.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$50.00	$49.65
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$50.00	$49.54
65778 Insertion of amniotic membrane to eye surface	33	18	$1459.00	$1216.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,043	24	$2.20	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	229	$50.00	$50.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$50.00	$50.00
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$50.00	$50.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,770	29	$2.20	$1.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	195	$50.00	$49.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$50.00	$49.96
65778 Insertion of amniotic membrane to eye surface	49	24	$1459.00	$1254.39
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$50.00	$49.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,690	23	$2.20	$1.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	269	$50.00	$49.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$50.00	$49.46
65778 Insertion of amniotic membrane to eye surface	84	42	$1459.00	$1255.17
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$50.00	$49.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,800	11	$2.20	$1.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	298	$50.00	$49.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$50.00	$49.42
65778 Insertion of amniotic membrane to eye surface	68	37	$1459.00	$1219.96
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$50.00	$49.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,240	20	$2.20	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	293	$50.00	$48.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$50.00	$49.00
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$50.00	$48.71

Medical Specialties & State Licenses

CMS Verified: 2022-06-16

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1391DT

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

77013910 (KY)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Leticia Mangrum

Technician/Technologist - Optician

NPI 1164152690

Lori Batts , ST LICENSED OPTICIAN

Technician/Technologist - Optician

NPI 1356071476

STLICENSEDOPTICIAN

Christy Benifield

Technician/Technologist - Optician

NPI 1538899034

Dr. Jeff Summers , DO

Technician/Technologist - Optician

NPI 1851022602

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2015

Registered at 1225 PARIS RD, MAYFIELD, KY 420664989 (Tel: 2702512020)

📍

Updated Business Mailing Address July 11, 2015

Registered at 1225 PARIS RD, MAYFIELD, KY 420664989 (Tel: 2702512020)

👤

Provider Name / Credentials Updated July 11, 2015

Recorded as TONY SMITH, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2015

Optometrist (License #1391DT in KY)

🟢

Initial NPI Registration & Enumeration August 02, 2005

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: 1487655437

Entity Type:

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

Enumeration Date: August 02, 2005

Last Update: June 16, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1225 Paris Rd

Mayfield, KY 420664989

Phone: 2702512020

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.