Stephen Smith, MD
NPI 1013278118 · Retina Specialist (Ophthalmology) Physician · Stanford, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Smith, MD is a Retina Specialist (Ophthalmology) Physician provider in Stanford, CA (NPI 1013278118).
Provider details
- NPI number
- 1013278118
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A141803 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
11,008 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Imaging of Retina92134 | 3,690 | $29 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 3,514 | $110 |
| Injection of Drug Into Eye67028 | 1,964 | $123 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 1,266 | $19 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 237 | $150 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 53 | 41 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 26 | — |
| Ketorolac Tromethamine | 25 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$53 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2452 Watson CtPalo Alto, CA 94303-3216Phone: (650) 723-6995
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Stephen Smith's NPI number?
- Stephen Smith's National Provider Identifier (NPI) is 1013278118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Smith's specialty?
- Stephen Smith is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Smith located?
- Stephen Smith's practice location on file with NPPES is 300 Pasteur Dr, Stanford, CA 94305-2200.
- What is Stephen Smith's phone number?
- The practice phone number listed in the NPPES registry for Stephen Smith is (650) 723-4000.
- Does Stephen Smith accept Medicare?
- Stephen Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Smith's NPI active?
- Yes — Stephen Smith's NPI (1013278118) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.