WALTER IV SMITHWICK (MD) – Ophthalmology Physician, NPI 1144292202

WALTER IV SMITHWICK (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 75330 (FL). The NPI Number for WALTER IV SMITHWICK (MD) is 1144292202

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
WALTER IV SMITHWICK (MD)
NPI
1144292202
Phone
(904) 388-6548
Address
2535 RIVERSIDE AVENUE
Enumeration Date
3 February 2006
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9043663781
Graduation Year
1993 (33 years ago)
PAC ID
0648483362
Group Practice PAC ID
4082764089
Professional Enrollment ID
I20110224000865
Address ID
FL322043361JA751XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for WALTER IV SMITHWICK (MD)

  • 2535, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044710

    Phone: (904) 388-6548

    Fax: (904) 389-8157

    Type: Mailing

  • 2535, Riverside Avenue, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044710

    Phone: (904) 388-6548

    Fax: (904) 389-8157

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($109).

Total Amount

$375

General + Research + Ownership

Payments

17

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110224000865IOphthalmologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes932694$0
92285Photography of content of eyes219213$0
99203New patient office or other outpatient visit, 30-44 minutes206206$0
92081Exam of visual field with limited testing150147$0
66984Removal of cataract with insertion of prosthetic lens10870$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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Provider's Procedures

WALTER IV SMITHWICK (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient1413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082764089View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YSC
O P T O M E T R YFL
-FL

Reviews

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Frequently asked questions

What number should I use to identify WALTER IV SMITHWICK (MD) for billing?
Administrative and clinical systems typically use NPI 1144292202 for WALTER IV SMITHWICK (MD).
Is WALTER IV SMITHWICK (MD)'s NPI status active today?
Active status means WALTER IV SMITHWICK (MD)'s NPI record is not deactivated in the public file.
What does the directory say WALTER IV SMITHWICK (MD) does?
Insurance directories may phrase it differently, but here WALTER IV SMITHWICK (MD) maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to WALTER IV SMITHWICK (MD)?
The directory associates WALTER IV SMITHWICK (MD) with Jacksonville, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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