Active NPI 1952351876 Individual Practitioner Male Practitioner

Dr. Philip Michael Smith , MD

Ophthalmology • Minocqua, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Smith, MD is a certified Ophthalmology practicing in Minocqua, WI. With approximately 26 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2000, Dr. Smith delivers high-quality medical care to the local community at 9576 HWY 70.

Dr. Smith is affiliated with Valley Eye Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens, 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

9576 Hwy 70

Minocqua, WI 545489067

Telephone 7153875236

Associated Practice Facility / Clinic

🏢 Dickinson County Healthcare System Facility NPI 1801887013

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Minocqua, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Minocqua, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (26 Years) 26 Yrs

Minocqua Specialty Average (26.0 Years) 26.0 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
92136 Measurement of corneal curvature and depth of eye	270	93	$125.35	$25.37
66984 Removal of cataract with insertion of lens	142	78	$4550.25	$486.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$262.00	$124.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$402.00	$163.04
66821 Removal of recurring cataract in lens capsule using a laser	37	11	$575.22	$136.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	25	$114.00	$55.56
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$173.00	$89.32
66821 Removal of recurring cataract in lens capsule using a laser	21	15	$1378.00	$304.67
92134 Imaging of retina	14	12	$136.00	$39.73
92133 Imaging of optic nerve	13	13	$136.00	$35.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	531	250	$67.00	$42.25
66984 Removal of cataract with insertion of lens	398	230	$1084.00	$537.29
92014 Established patient complete exam of visual system	360	332	$208.02	$133.22
J0178 Injection, aflibercept, 1 mg	350	58	$1546.11	$869.36
92136 Measurement of corneal curvature and depth of eye	323	301	$82.17	$49.37
67028 Injection of drug into eye	261	87	$365.00	$118.52
92012 Established patient problem focused exam of visual system	144	114	$147.06	$95.32
66821 Removal of recurring cataract in lens capsule using a laser	140	102	$545.00	$348.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	120	$208.00	$130.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	103	$92.00	$59.18
92025 Ct scan of cornea	89	82	$59.07	$34.19
65855 Laser repair to improve eye fluid flow	85	53	$399.00	$257.68
J7999 Compounded drug, not otherwise classified	84	40	$123.00	$92.55
92133 Imaging of optic nerve	74	73	$61.00	$36.96
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$147.00	$93.96
92004 New patient complete exam of visual system	57	57	$246.00	$156.03
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	46	26	$1062.00	$699.49
83861 Microfluid analysis of tears	42	21	$36.00	$21.06
66982 Complex removal of cataract with insertion of prosthetic lens	33	26	$1343.00	$759.66
92083 Exam of visual field with extended testing	29	28	$104.00	$66.02
66174 Dilation of fluid outflow drainage within eye	27	15	$1228.00	$635.99
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	25	15	$1170.00	$756.04
92081 Exam of visual field with limited testing	13	13	$54.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	444	407	$208.00	$133.88
92136 Measurement of corneal curvature and depth of eye	357	264	$85.78	$52.04
66984 Removal of cataract with insertion of lens	312	189	$3094.46	$519.49
83861 Microfluid analysis of tears	298	144	$36.00	$22.03
92134 Imaging of retina	272	195	$67.00	$41.89
92012 Established patient problem focused exam of visual system	271	240	$148.90	$94.38
92025 Ct scan of cornea	216	165	$59.00	$34.62
66821 Removal of recurring cataract in lens capsule using a laser	119	88	$1032.37	$359.47
92133 Imaging of optic nerve	110	110	$62.44	$36.78
65855 Laser repair to improve eye fluid flow	71	46	$399.00	$258.41
67028 Injection of drug into eye	69	42	$365.00	$117.79
J7999 Compounded drug, not otherwise classified	61	38	$123.00	$92.50
92083 Exam of visual field with extended testing	53	53	$108.66	$64.55
66982 Complex removal of cataract with insertion of prosthetic lens	42	30	$3646.00	$722.84
92004 New patient complete exam of visual system	35	35	$277.70	$155.77
92012 Established patient problem focused exam of visual system	35	33	$165.45	$49.60
92136 Measurement of corneal curvature and depth of eye	31	19	$81.30	$29.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$108.98	$34.74
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	24	15	$1170.00	$740.73
92250 Photography of the retina	23	23	$61.00	$36.39
76514 Ultrasound scan of cornea to determine thickness	17	17	$19.00	$11.33
66174 Dilation of fluid outflow drainage within eye	17	11	$1734.06	$786.07
92283 Extended color vision examination	15	15	$90.00	$57.32
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	13	13	$211.00	$135.90
92004 New patient complete exam of visual system	12	12	$288.53	$93.34
92002 New patient problem focused exam of visual system	12	12	$158.97	$89.59
92133 Imaging of optic nerve	12	12	$72.90	$21.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	169	107	$6380.00	$489.19
92136 Measurement of corneal curvature and depth of eye	120	69	$78.20	$29.79
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$149.78	$64.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	35	$104.78	$34.47
66982 Complex removal of cataract with insertion of prosthetic lens	40	26	$7935.00	$615.37
92136 Measurement of corneal curvature and depth of eye	39	38	$219.58	$51.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$354.38	$129.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$472.50	$160.15
65820 Incision to improve eye fluid flow	28	17	$7461.00	$780.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$227.48	$95.39
92012 Established patient problem focused exam of visual system	25	23	$159.08	$49.61
92133 Imaging of optic nerve	21	20	$70.10	$21.29
92082 Exam of visual field with intermediate testing	17	17	$54.60	$20.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$241.05	$79.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$139.70	$53.87
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$4174.55	$364.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	394	311	$126.87	$94.45
92014 Established patient complete exam of visual system	355	333	$184.75	$134.18
66984 Removal of cataract with insertion of lens	272	183	$2150.26	$540.19
92133 Imaging of optic nerve	167	157	$75.00	$39.44
92136 Measurement of corneal curvature and depth of eye	163	99	$140.56	$51.32
92004 New patient complete exam of visual system	124	124	$199.64	$157.87
92250 Photography of the retina	99	98	$125.00	$48.21
66821 Removal of recurring cataract in lens capsule using a laser	83	70	$590.96	$357.43
92083 Exam of visual field with extended testing	73	70	$140.00	$66.81
92132 Imaging of front third of eye	35	35	$75.00	$30.36
92134 Imaging of retina	30	18	$75.00	$43.30
0191T Internal insertion of eye fluid drainage device	25	16	$2104.00	$309.48
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$90.00	$29.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$115.00	$113.24
66982 Complex removal of cataract with insertion of prosthetic lens	21	17	$3017.62	$755.61
65820 Incision to improve eye fluid flow	20	13	$2486.10	$818.87
92286 Imaging of front third of eye using a special microscope	18	18	$200.00	$37.89
67820 Removal of eyelashes using forceps	12	11	$75.00	$29.50
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$174.90	$48.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	541	364	$2075.53	$630.66
92014 Established patient complete exam of visual system	430	382	$184.69	$133.71
92012 Established patient problem focused exam of visual system	393	298	$128.44	$93.76
92136 Measurement of corneal curvature and depth of eye	354	220	$140.16	$58.29
92133 Imaging of optic nerve	212	204	$75.71	$38.96
92004 New patient complete exam of visual system	170	170	$200.00	$159.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	147	$115.16	$113.39
66821 Removal of recurring cataract in lens capsule using a laser	140	117	$582.50	$352.59
92083 Exam of visual field with extended testing	140	127	$139.71	$68.62
92250 Photography of the retina	103	100	$125.00	$54.17
99213 Established patient office or other outpatient visit, typically 15 minutes	55	55	$80.73	$77.71
65820 Incision to improve eye fluid flow	54	38	$1977.78	$601.32
92132 Imaging of front third of eye	52	52	$75.00	$30.19
92134 Imaging of retina	49	26	$77.04	$43.36
92286 Imaging of front third of eye using a special microscope	47	47	$200.00	$37.87
66982 Complex removal of cataract with insertion of prosthetic lens	36	29	$2500.00	$796.28
0191T Internal insertion of eye fluid drainage device	35	25	$1934.29	$217.21
66174 Dilation of fluid outflow drainage within eye	24	18	$2525.00	$980.71
92020 Examination of cornea and iris using lens device and slit lamp	23	22	$87.43	$29.20
66984 Removal of cataract with insertion of lens	19	17	$37.39	$19.17
67820 Removal of eyelashes using forceps	16	13	$75.75	$37.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	657	414	$2073.41	$648.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	357	$115.00	$111.97
92014 Established patient complete exam of visual system	492	407	$184.09	$133.49
92136 Measurement of corneal curvature and depth of eye	411	254	$140.25	$62.46
92012 Established patient problem focused exam of visual system	254	169	$139.65	$92.44
66821 Removal of recurring cataract in lens capsule using a laser	238	191	$607.77	$347.32
92133 Imaging of optic nerve	200	192	$75.50	$39.90
92004 New patient complete exam of visual system	167	167	$199.76	$157.71
92083 Exam of visual field with extended testing	138	130	$139.71	$68.13
92134 Imaging of retina	94	44	$76.60	$43.93
J0178 Injection, aflibercept, 1 mg	78	16	$1250.00	$954.24
92286 Imaging of front third of eye using a special microscope	51	51	$200.00	$37.22
67028 Injection of drug into eye	50	21	$600.00	$106.49
65855 Laser repair to improve eye fluid flow	44	30	$738.64	$258.77
0191T Internal insertion of eye fluid drainage device	37	25	$1816.22	$216.51
65820 Incision to improve eye fluid flow	29	21	$1913.79	$694.83
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$81.54	$76.00
92250 Photography of the retina	23	23	$125.00	$61.09
66982 Complex removal of cataract with insertion of prosthetic lens	21	17	$2500.00	$793.20
92132 Imaging of front third of eye	20	20	$75.00	$30.04
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$500.00	$329.20
66984 Removal of cataract with insertion of lens	18	13	$39.79	$17.34
67820 Removal of eyelashes using forceps	14	14	$75.00	$44.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	532	371	$1768.14	$630.47
92014 Established patient complete exam of visual system	522	436	$160.14	$129.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	345	$114.99	$109.35
92012 Established patient problem focused exam of visual system	323	184	$110.46	$88.89
92136 Measurement of corneal curvature and depth of eye	298	204	$128.28	$71.91
92133 Imaging of optic nerve	199	182	$90.20	$37.84
66821 Removal of recurring cataract in lens capsule using a laser	195	162	$600.26	$340.09
92083 Exam of visual field with extended testing	191	165	$105.24	$65.73
92004 New patient complete exam of visual system	163	163	$180.86	$155.86
92134 Imaging of retina	111	59	$96.40	$42.77
J0178 Injection, aflibercept, 1 mg	104	20	$1250.00	$962.34
67028 Injection of drug into eye	72	27	$411.25	$105.58
92286 Imaging of front third of eye using a special microscope	60	59	$190.75	$37.00
92250 Photography of the retina	55	55	$100.00	$69.96
68761 Closure of tear duct opening using plug	55	18	$186.36	$106.32
65855 Laser repair to improve eye fluid flow	37	24	$750.00	$247.40
0191T Internal insertion of eye fluid drainage device	28	24	$1357.14	$670.63
65820 Incision to improve eye fluid flow	27	17	$1485.19	$753.02
92132 Imaging of front third of eye	27	27	$62.41	$29.66
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$80.31	$74.49
67820 Removal of eyelashes using forceps	15	15	$75.00	$50.41
92082 Exam of visual field with intermediate testing	11	11	$85.45	$50.56

Medical Specialties & State Licenses

CMS Verified: 2024-04-25

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 53051

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CA C134021

Hospital & Practice Group Affiliations

Valley Eye Associates

1301 E Northland Ave, Appleton, WI 549118582

Phone: 9207348714

Secondary Practice Locations

3211 Fortune Ct, Suite A

Auburn, CA 956029245

Phone: 5308856241

Practice Associates & Co-Workers

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

35 Associated Practitioners

Megan Simmons , PA

Physician Assistant

NPI 1063047637

Physician Assistant

Dr. Michael Larson , PhD

Psychologist

NPI 1063514057

Doctor of Philosophy (Ph.D.)

Dr. John Ester , MD

Obstetrics & Gynecology

NPI 1063527547

Doctor of Medicine (M.D.)

Grace Schwantes

Pediatrics

NPI 1073190849

Abigail Mallek Karch , PA

Physician Assistant

NPI 1073701512

Physician Assistant

Dr. Ferry Gunawan , MD

Hospitalist

NPI 1104355387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location December 28, 2023

Registered at 9576 HWY 70, MINOCQUA, WI 545489067 (Tel: 7153875236)

📍

Updated Business Mailing Address December 28, 2023

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495702

✅

NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2017

Registered at 3211 FORTUNE CT, SUITE A, AUBURN, CA 956029245 (Tel: 5308856241)

📍

Updated Business Mailing Address September 18, 2017

Registered at 3211 FORTUNE CT, SUITE A, AUBURN, CA 956029245 (Tel: 5308856241)

👤

Provider Name / Credentials Updated September 18, 2017

Recorded as PHILIP SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

Ophthalmology (License #C134021 in CA)

✅

NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2016

Registered at 3211 FORTUNE CT, SUITE A, AUBURN, CA 956029245 (Tel: 5308856241)

📍

Updated Business Mailing Address October 04, 2016

Registered at 3211 FORTUNE CT, SUITE A, AUBURN, CA 956029245 (Tel: 5308856241)

👤

Provider Name / Credentials Updated October 04, 2016

Recorded as PHILIP SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Ophthalmology (License #C134021 in CA)

🟢

Initial NPI Registration & Enumeration May 11, 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: 1952351876

Entity Type:

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

Enumeration Date: May 11, 2006

Last Update: April 25, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 N Oak Ave

Marshfield, WI 544495702

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.