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Active NPI 1154339687 Individual Practitioner Male Practitioner

Dr. Keith Smithson , OD

Optometrist • Reston, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Smithson, OD is a certified Optometrist practicing in Reston, VA. With approximately 26 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2000, Dr. Smithson delivers high-quality medical care to the local community at 11656 PLAZA AMERICA DR.

Dr. Smithson is affiliated with Northern Virginia Doctors Of Optometry and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, established 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

11656 Plaza America Dr

Reston, VA 201904767

Telephone 7034679080
Fax 7034679082
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Reston, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +5.9 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
21 Specialists

Practicing in Reston, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smithson (26 Years) 26 Yrs
Reston Specialty Average (20.1 Years) 20.1 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
92250 Photography of the retina
186 183 $145.00 $40.10
92014 Established patient complete exam of visual system
114 112 $170.00 $137.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 39 $185.00 $137.46
99213 Established patient office or other outpatient visit, typically 15 minutes
39 35 $145.00 $99.32
92083 Exam of visual field with extended testing
29 24 $170.00 $70.81
92004 New patient complete exam of visual system
19 19 $220.00 $159.29
92133 Imaging of optic nerve
19 16 $130.00 $36.90
76514 Ultrasound scan of cornea to determine thickness
12 11 $50.00 $11.81

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618001041

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
009232231 (VA)
Commercial Insurance / Payer ID Anthem Bcbs/alexandria
383935 (VA)
Commercial Insurance / Payer ID Anthem Bcbs/reston
383934 (VA)
Commercial Insurance / Payer ID Aetna Ppo
7671300 (VA)
Commercial Insurance / Payer ID Bcbs/carefirst
9314-0007 (VA)
Commercial Insurance / Payer ID Mamsi/alliance
295571 (VA)
Commercial Insurance / Payer ID Aetna Hmo
2663321 (VA)

Hospital & Practice Group Affiliations

Northern Virginia Doctors Of Optometry

3 /2 E Main St, Berryville, VA 226111337

Phone: 5409555051

Northern Virginia Doctors Of Optometry

11656 Plaza America Dr, Reston, VA 201904700

Phone: 7034679080

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1043053606

Doctor of Optometry

Monica Park

Optometrist

NPI 1043067572
NPI 1639270317

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11656 PLAZA AMERICA DR, RESTON, VA 201904767 (Tel: 7034679080)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7263E ARLINGTON BLVD, FALLS CHURCH, VA 220423219 (Tel: 7035731200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH SMITHSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #0618001041 in VA)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1154339687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

7263e Arlington Blvd

Falls Church, VA 220423219

Phone: 7035731200

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.