Individual provider Active NPI

Scott H Smith, MD

  • Ophthalmology Physician
  • Waco, TX
National Provider Identifier
1750355442
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H9572 Issued in TX
Practice address
5002 Lakeland Cir
Ste a
Waco, TX 76710-2976
Phone
(254) 752-2571
Fax
(254) 752-0699
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Ophthalmology Physician 207W00000X H9572 TX Primary

Addresses

Primary practice location

5002 Lakeland Cir
Ste a
Waco, TX 76710-2976

Mailing address

5002 Lakeland Cir
Ste a
Waco, TX 76710-2976
Phone (254) 752-2571

Other identifiers 1

IdentifierTypeStateIssuer
034690702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000030 TX Practitioner - Ophthalmology 7517957962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5002 Lakeland Cir
Suite a
Waco, TX 76710-2900

5002 Lakeland Cir a
Waco, TX 76710-2900
Phone (254) 752-2571

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9572TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Eye Physicians PA Specialist CurrentSince Apr 8, 2000 Accepting new patients

Locations

5002 Lakeland Cir
Ste A
Waco, TX 76710
Phone (254) 752-2571

Organizations & group practices 1

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1750355442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 LAKELAND CIR",
            "address_2": "STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102976",
            "telephone_number": "254-752-2571",
            "fax_number": "254-752-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 LAKELAND CIR",
            "address_2": "STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102976",
            "telephone_number": "254-752-2571",
            "fax_number": "254-752-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H9572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034690702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.