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Active NPI 1689756199 Individual Practitioner Male Practitioner

Dr. Gary Thomas Smith , DO

Optometrist • South Williamson, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Smith, DO is a certified Optometrist practicing in South Williamson, KY. With approximately 36 years of clinical experience since graduating from Southern College Of Optometry in 1990, Dr. Smith delivers high-quality medical care to the local community at 79 MALL ROAD.

Dr. Smith accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

79 Mall Road
Suite A

South Williamson, KY 415034079

Telephone 6062374551
Fax 6062374592
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in South Williamson, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs Matches City Avg
City Avg: 36.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
2 Specialists

Practicing in South Williamson, KY (836 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (36 Years) 36 Yrs
South Williamson Specialty Average (36.0 Years) 36.0 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
34 12 $100.00 $83.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 28 $80.00 $51.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 20 $120.00 $118.29
99202 New patient office or other outpatient visit, typically 20 minutes
12 12 $90.00 $66.26

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY KY1198DT

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
77011989 (KY)
Medicaid State Provider ID
0150046000 (WV)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2012

Registered at 79 MALL ROAD, SUITE A, SOUTH WILLIAMSON, KY 415034079 (Tel: 6062374551)

📍
Updated Business Mailing Address September 26, 2012

Registered at 79 MALL ROAD, SOUTHSIDE PROFESSIONAL BLDG, SUITE A, SOUTH WILLIAMSON, KY 415034079 (Tel: 6062374551)

👤
Provider Name / Credentials Updated September 26, 2012

Recorded as GARY SMITH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Optometrist (License #KY1198DT in KY)

🟢
Initial NPI Registration & Enumeration October 20, 2006

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: 1689756199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: September 26, 2012
Sole Proprietor: Yes

Mailing Address

79 Mall Road, Southside Professional Bldg, Suite A

South Williamson, KY 415034079

Phone: 6062374551

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.