Active NPI 1598708703 Individual Practitioner Male Practitioner

Dr. Thomas W Smith , MD

Ophthalmology • Du Bois, PA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Smith, MD is a registered healthcare professional specializing in Ophthalmology in Du Bois, PA. Practice services are available at 529 SUNFLOWER DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, 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

529 Sunflower Dr

Du Bois, PA 158012378

Telephone 8143712390

Fax 8143719532

Associated Practice Facility / Clinic

🏢 Thomas W. Smith, Md Pc Facility NPI 1467563502

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Du Bois, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Du Bois, PA (1152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	80	$80.00	$78.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	66	$81.67	$78.09
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$52.00	$51.25
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$52.00	$51.23
92134 Imaging of retina	25	24	$94.00	$25.33
92133 Imaging of optic nerve	21	21	$94.00	$22.18
92133 Imaging of optic nerve	21	21	$94.00	$22.26
92134 Imaging of retina	20	20	$96.50	$26.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	412	$88.85	$78.48
99213 Established patient office or other outpatient visit, typically 15 minutes	194	160	$57.20	$51.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	135	$80.00	$78.60
92133 Imaging of optic nerve	133	130	$89.79	$22.19
92134 Imaging of retina	113	108	$90.04	$25.68
99213 Established patient office or other outpatient visit, typically 15 minutes	69	65	$52.00	$51.00
92134 Imaging of retina	47	46	$94.00	$25.67
92133 Imaging of optic nerve	43	42	$94.00	$22.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$137.22	$129.01
92083 Exam of visual field with extended testing	22	21	$30.00	$27.82
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$685.71	$328.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	462	$95.44	$77.49
99213 Established patient office or other outpatient visit, typically 15 minutes	251	185	$60.88	$50.41
92133 Imaging of optic nerve	127	119	$87.90	$22.00
92134 Imaging of retina	123	118	$87.46	$25.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$142.39	$127.86
92083 Exam of visual field with extended testing	31	30	$30.00	$26.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$85.00	$75.82
66821 Removal of recurring cataract in lens capsule using a laser	17	17	$670.59	$320.52
92250 Photography of the retina	13	13	$46.00	$21.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	339	$95.26	$76.97
99213 Established patient office or other outpatient visit, typically 15 minutes	178	145	$60.56	$50.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	112	$95.00	$77.35
92134 Imaging of retina	91	86	$87.00	$25.21
92133 Imaging of optic nerve	90	84	$87.63	$22.26
92133 Imaging of optic nerve	36	35	$87.00	$22.18
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$60.00	$50.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$140.00	$127.48
92134 Imaging of retina	25	25	$87.00	$25.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$35.00	$25.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$85.00	$75.51
92083 Exam of visual field with extended testing	13	12	$30.00	$27.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$140.00	$128.59
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$695.45	$314.48

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD021684E

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0013934950001 (PA)

Commercial Insurance / Payer ID Railroad Medicare

442181133 (PA)

Commercial Insurance / Payer ID Highmark

089588 (PA)

Commercial Insurance / Payer ID Umwa

1258314 (PA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. John Fabre , MD

Ophthalmology

NPI 1285674176

Doctor of Medicine (M.D.)

Dr. Emily Emerson , OD

Optometrist

NPI 1295111094

Doctor of Optometry

Dr. Jessica Gruver , OD

Optometrist

NPI 1679139091

Doctor of Optometry

Dr. Ryan Bisbey , MD

Ophthalmology

NPI 1710178439

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 05, 2019

Registered at 529 SUNFLOWER DR, DU BOIS, PA 158012378 (Tel: 8143712390)

✅

NPI Profile Active April 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2016

Registered at 865 BEAVER DR, DU BOIS, PA 158012511 (Tel: 8143712390)

📍

Updated Business Mailing Address April 27, 2016

Registered at 100 HOSPITAL AVE, DU BOIS, PA 158011440 (Tel: 8143712390)

👤

Provider Name / Credentials Updated April 27, 2016

Recorded as THOMAS SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2016

Ophthalmology (License #MD021684E in PA)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1598708703

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: June 05, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Hospital Ave

Du Bois, PA 158011440

Phone: 8143712390

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.