STACY RUTH SMITH (M.D.) – Ophthalmology Physician, NPI 1639348899
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
Provider Addresses for STACY RUTH SMITH (M.D.)
1548 E 4500 S STE 105
SALT LAKE CITY, UT 841175209
Phone: (801) 424-3090
Fax: (801) 424-3091
Type: Location
Highland Drive, Holladay, Salt Lake County, Utah, 84122, United States
SUITE 160
SALT LAKE CITY, UT 841174263
Phone: (801) 424-3090
Fax: (801) 424-3091
Type: Location
PO BOX 27688
SALT LAKE CITY, UT 841270688
Phone: (801) 534-1360
Fax: (801) 366-9883
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($122).
Total Amount
$178
General + Research + Ownership
Payments
3
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $122 |
| Genentech USA, Inc. | $56 |
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: 2008-04-14
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 |
|---|---|---|---|---|
| I20080414000435 | I | Ophthalmology | UT | 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 | 483 | 453 | $0 |
| 92134 | Imaging of retina | 325 | 110 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 286 | 20 | $0 |
| 92012 | Established patient problem focused exam of visual system | 263 | 162 | $0 |
| 67028 | Injection of drug into eye | 235 | 43 | $0 |
Insurance plans in this area (ZIP 84117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | UT | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 187 | 111 |
| OPHTHALMOLOGY | UT | 92083 | Measurement of field of vision during daylight conditions | 11 | 11 |
| OPHTHALMOLOGY | UT | 92134 | Diagnostic imaging of retina | 220 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | UT |
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