Individual provider Active NPI

Jared G Smedley, MD

  • Ophthalmology Physician
  • Arvada, CO
National Provider Identifier
1487074191
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0065378 Issued in CO
Practice address
7950 Kipling St Ste 203
Arvada, CO 80005-3928
Phone
(303) 422-2305
Fax
(303) 422-8605
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR.0065378 CO Primary
Ophthalmology Physician 207W00000X 56343 AZ

Addresses

Primary practice location

7950 Kipling St Ste 203
Arvada, CO 80005-3928

Mailing address

7950 Kipling St Ste 203
Arvada, CO 80005-3928
Phone (303) 422-2305

Other practice location 1

7763 E Florentine Rd
Prescott Valley, AZ 86314-2289
Phone (928) 775-9393

Other identifiers 4

IdentifierTypeStateIssuer
403384MedicaidAZ
56343OtherAZMEDICAL LICENSE
DR.0065378OtherCOMEDICAL LICENSE
11847741-1205OtherUTMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210818003411 CO Practitioner - Ophthalmology 5193019297 Reassigns benefits to 1 organization
I20240919003888 NE Practitioner - Ophthalmology 5193019297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Trail Eye Center PCGroup PAC ID 9739163924, 5 clinicians

Practice addresses (Care Compare)

329 W 40TH St
Scottsbluff, NE 69361-4634
Phone (308) 635-3911

7950 Kipling St
Suite 203
Arvada, CO 80005-3928
Phone (303) 422-2305

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
98.54
Improvement activities
40
Cost
68.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Trail Eye Center, PC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Colorado Eye Associates Ophthalmology CurrentSince Aug 12, 2021 Accepting new patients
Yavapai Eye Associates PC Ophthalmology CurrentSince Mar 5, 2020 Accepting new patients

Locations

2501 N Stockton Hill Rd
Ste 108
Kingman, AZ 86401
Phone (928) 255-5050

7840 E State Route 69
Ste A5A
Prescott Valley, AZ 86314
Phone (928) 775-9393

2820 N Glassford Hill Rd
Ste 101
Prescott Vly, AZ 86314
Phone (928) 771-9000

7763 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 717-1800

7950 Kipling St
Ste 203
Arvada, CO 80005
Phone (303) 422-2305

329 W 40th St
Scottsbluff, NE 69361
Phone (308) 635-3911

Interoperability endpoints

  • Direct secure messaging: jared.smedley.p1@direct.otec.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1487074191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST STE 203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053928",
            "telephone_number": "303-422-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST STE 203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053928",
            "telephone_number": "303-422-2305",
            "fax_number": "303-422-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7763 E Florentine Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142289",
            "country_code": "US",
            "telephone_number": "928-775-9393",
            "fax_number": "928-772-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "JARED",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0065378",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "56343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403384",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "56343",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DR.0065378",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "11847741-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.