DR. JACQUELINE ELIZABETH SMITH (M.D.) – Ophthalmology Physician, NPI 1396709689
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
Provider Addresses for DR. JACQUELINE ELIZABETH SMITH (M.D.)
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Phone: (210) 292-6040
Type: Location
4101, Northwest 4th Street, Breezeswept Park Estates, Plantation, Broward County, Florida, 33317, United States
# 409
PLANTATION, FL 333172836
Phone: (954) 321-9555
Fax: (954) 321-9557
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Horizon Therapeutics plc ($250).
Total Amount
$558
General + Research + Ownership
Payments
5
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $250 |
| ABBVIE INC. | $123 |
| CooperVision Inc. | $101 |
| Sun Pharmaceutical Industries Inc. | $84 |
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: 2004-03-05
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 |
|---|---|---|---|---|
| I20040305000508 | I | Ophthalmology | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 60 | $0 |
| 92083 | Exam of visual field with extended testing | 32 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 18 | $0 |
| 92004 | New patient complete exam of visual system | 14 | 14 | $0 |
| 92020 | Exam of the internal drainage system of eye | 13 | 13 | $0 |
Insurance plans in this area (ZIP 78236)
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