DR. ALLEN RALPH SMITH (O.D.) – Optometrist, NPI 1255369138
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for DR. ALLEN RALPH SMITH (O.D.)
8636 CARLISLE DR SW
BYRON CENTER, MI 493158167
Phone: (616) 583-1424
Type: Mailing
8134 WARNER ST
ALLENDALE, MI 494019610
Phone: (616) 819-8294
Type: Mailing
597, Baldwin Street, Jenison, Georgetown Township, Ottawa County, Michigan, 49428, United States
JENISON, MI 494287994
Phone: (616) 457-0760
Fax: (616) 457-0762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $3,138.
Total Amount is formed as General ($3,138) + Research ($0) + Ownership ($0) = $3,138.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($2,408).
Total Amount
$3,138
General + Research + Ownership
Payments
40
Total payment records
General Amount
$3,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $2,408 |
| CooperVision Inc. | $199 |
| BIOTISSUE HOLDINGS, INC. | $177 |
| Oyster Point Pharma, Inc. | $139 |
| Sight Sciences, Inc. | $77 |
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: 2005-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050801000879 | I | Optometry | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 110 | 110 | $0 |
| 92083 | Exam of visual field with extended testing | 41 | 30 | $0 |
| 92133 | Imaging of optic nerve | 38 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 27 | 14 | $0 |
Insurance plans in this area (ZIP 49315)
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Provider's Procedures
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