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Stephen J Smith, MD

Ophthalmology · Stanford

NPI 1013278118

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
17
3 carriers
Offices
3

Offices

3 locations · Stanford Health Care · County of Santa Clara

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

17 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Smith’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

17 of 17 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A141803 · Current

Licensed to practise in California · since 2016 · expires 2028-04-30 · Mayo Medical School.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$675,167

Medicare paid this office $675,167 for 1,476 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)1,280$288,524$82
Injection of drug into eye307$182,840$93
Imaging of retina1,406$80,650$22
New patient visit (45+ min)237$26,608$112
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's948$18,605$15
See all 14 services
Every Original Medicare service billed
Return visit (30+ min)1,280$288,524$82
Injection of drug into eye307$182,840$93
Imaging of retina1,406$80,650$22
New patient visit (45+ min)237$26,608$112
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's948$18,605$15
Destruction of leaking blood vessels of retina using laser17$9,760$287
Removal of recurring cataract in lens capsule using a laser28$9,742$263
Long return visit (40+ min)39$6,555$129
Photocoagulation treatment to prevent detachment of retina23$5,479$211
Removal of eye fluid39$3,680$68
Short return visit (20+ min)51$3,197$56
2d ultrasound scan of eye tissue and structures43$1,281$27
Exam of retinal blood vessels using a special camera after injection of a dye15$551$37
Imaging of optic nerve16$318$20

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery41More than 59% of doctors who do this

Who their Medicare patients are

1,476 Original Medicare patients in 2024. Average age 75 · Under 65 7% · 85 and older 17% · Women 55% · Also on Medicaid 28% · Health risk score 1.42. Above the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 71% · Diabetes 45% · Coronary heart disease 26% · Chronic kidney disease 25% · Atrial fibrillation 16% · Cancer 15% · Depression 15% · Heart failure 14% · Stroke 9% · COPD 8% · Dementia 5%.

The office billed $4,777,976, Medicare allowed $895,633 and paid $675,167; for 11,100 services of 36 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241,47611,100751.42$4,777,976$675,167
20231,0055,900741.48$2,532,599$419,474
20226442,820741.27$1,035,522$213,597
2021142434751.30$189,591$37,551
20185563751.36$84,073$5,123
2017104124731.21$216,070$10,953
201693101741.28$193,721$9,166

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 12 services

Original Medicare services billed in 2023
Return visit (30+ min)769$162,542$87
Injection of drug into eye237$123,149$99
Imaging of retina931$51,910$23
New patient visit (45+ min)251$27,340$109
Removal of membrane of retina with removal of internal limiting membrane of retina11$11,835$1,076
Short return visit (20+ min)57$3,965$59
Return visit (30+ min)12$1,058$88
Short return visit24$817$33
2d ultrasound scan of eye tissue and structures22$737$29
Imaging of retina26$621$22
Exam of retinal blood vessels using a special camera after injection of a dye15$614$41
Photography of the retina14$302$20

2022: 9 services

Original Medicare services billed in 2022
Return visit (30+ min)363$68,862$87
Injection of drug into eye134$47,382$98
New patient visit (45+ min)323$36,534$113
Imaging of retina598$24,533$23
Destruction of leaking blood vessels of retina using laser13$8,958$299
Photocoagulation treatment to prevent detachment of retina13$3,392$212
Short return visit (20+ min)19$1,239$56
Exam of retinal blood vessels using a special camera after injection of a dye25$929$37
Photography of the retina12$237$18

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)76$9,408$87
New patient visit (45+ min)61$7,392$121
Injection of drug into eye19$5,908$102
Imaging of retina133$4,065$23

2018: 1 service

Original Medicare services billed in 2018
Short return visit (20+ min)19$786$41

2017: 5 services

Original Medicare services billed in 2017
Complex repair of detached retina and drainage of eye fluid between lens and retina11$2,431$203
Removal of eye fluid (vitreous) between lens and retina14$2,194$137
Return visit (30+ min)15$939$59
Short return visit (20+ min)18$706$39
Short return visit18$409$22

2016: 4 services

Original Medicare services billed in 2016
Removal of membrane of retina with removal of internal limiting membrane of retina15$2,605$174
Return visit (30+ min)14$981$70
Short return visit (20+ min)15$664$44
Photography of the retina12$267$22

Medicaid work

$817,825 in 2024

Medicaid paid $817,825 for 7,940 billed services this clinician did in 2024, up to 184 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Aflibercept injection231$401,210
Intravitreal injection of a pharmacologic agent (separate procedure)2,392$283,873
Return visit (30+ min)1,492$58,906
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina2,092$23,488
Service562$22,048
OFF/OP EST MAY X REQ PHY/QHP197$8,387
OFF/OP CNSLTJ NEW/EST MOD 4040$4,941
Injection, bevacizumab, 10 mg15$4,425
TREATMENT X10SV RETINOPATHY24$4,149
Hospital outpatient clinic visit for assessment and management of a patient303$3,088
Long return visit (40+ min)13$1,449
New patient visit (45+ min)18$931
Medicaid work by year
20247,94016184$817,825
20236,61612171$801,302
20222,35910113$183,351
2021116222$2,266
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Aflibercept injection193$388,872
Intravitreal injection of a pharmacologic agent (separate procedure)2,136$281,528
Injection, bevacizumab, 10 mg136$44,245
Return visit (30+ min)1,285$35,156
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina1,878$23,695
Service357$14,234
OFF/OP CNSLTJ NEW/EST MOD 4083$9,420
OFF/OP EST MAY X REQ PHY/QHP63$1,994
Hospital outpatient clinic visit for assessment and management of a patient242$1,938
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient65$143
New patient visit (45+ min)14$75
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)164$0

2022

Largest Medicaid services in 2022
Intravitreal injection of a pharmacologic agent (separate procedure)701$104,738
Aflibercept injection12$23,333
OFF/OP CNSLTJ NEW/EST MOD 40130$14,887
Return visit (30+ min)482$14,336
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina770$12,775
Injection, bevacizumab, 10 mg26$9,365
Service102$2,926
New patient visit (45+ min)61$897
Hospital outpatient clinic visit for assessment and management of a patient31$95
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)44$0

2021

Largest Medicaid services in 2021
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina87$1,453
Return visit (30+ min)29$813

Drugs they prescribed that Part D paid

$11,931

Pharmacies billed $11,931 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 156) in 2024. At or below the middle of the specialty; the typical ophthalmology clinician is at 0%.

75 generic and 81 brand-name prescriptions · $11,931 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Prednisolone Acetate53$2,946$56
Ketorolac Tromethamine25$741$30
Dorzolamide-Timolol26$176$7

Year by year

Part D prescribing by year
2024156660% (0)52%$11,931
2023162630% (0)58%$16,908
202260250% (0)37%$8,658
201917None0% (0)0%$318
201884280% (0)46%$54,642
201779470% (0)68%$116,120
2016305112None36%$22,532
201515576NoneNone$11,800
20141577417% (26)32%$13,894
20137947None48%$4,995

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Prednisolone Acetate67$4,148$62
Ketorolac Tromethamine25$1,266$51
Dorzolamide-Timolol15$269$18
Latanoprost14$88$6

2022: 2 drugs

Part D drugs prescribed in 2022
Prednisolone Acetate11$791$72
Azelastine12$193$16

2019: 1 drug

Part D drugs prescribed in 2019
Donepezil11$206$19

2018: 2 drugs

Part D drugs prescribed in 2018
Donepezil11$194$18
Latanoprost16$166$10

2017: 1 drug

Part D drugs prescribed in 2017
Prednisolone Acetate19$1,268$67

2016: 8 drugs

Part D drugs prescribed in 2016
Restasis13$7,219$555
Prednisolone Acetate37$2,869$78
Brimonidine27$1,885$70
Latanoprost76$1,239$16
Dorzolamide-Timolol18$633$35
Timolol Maleate26$539$21
Dorzolamide18$281$16
Acyclovir17$227$13

2015: 4 drugs

Part D drugs prescribed in 2015
Brimonidine20$1,491$75
Prednisolone Acetate18$1,472$82
Dorzolamide-Timolol20$481$24
Latanoprost32$453$14

2014: 4 drugs

Part D drugs prescribed in 2014
Prednisolone Acetate21$2,046$97
Dorzolamide-Timolol18$681$38
Erythromycin23$317$14
Hydrocodone-Acetaminophen24$138$6

2013: 1 drug

Part D drugs prescribed in 2013
Prednisolone Acetate21$856$41

Money from drug and device companies

$18 in 2025

Industry payments by year
202511None$18
202412None$53
202311None$149
202211$1,035$1,035
201911None$125

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Tarsus PharmaceuticalsXdemvy$18
1 payment
  • Meals for Xdemvy · 2025-02-19 · $18
See the published payment
Every published payment
Tarsus PharmaceuticalsMeals · 2025-02-19Xdemvy$18
See earlier years (2024, 2023, 2022, 2019)

2024: $53

Payments by company in 2024
Tarsus PharmaceuticalsXdemvy$53
2 payments
  • Meals for Xdemvy · 2024-11-13 · $24
  • Meals for Xdemvy · 2024-07-24 · $29

2023: $149

Payments by company in 2023
Astellas Pharma USNone$149
1 payment
  • Meals · 2023-08-02 · $149

2022: $1,035

Payments by company in 2022
Bausch & Lomb AmericasXipere$1,035
1 payment
  • Paid to speak or teach for Xipere · 2022-09-29 · $1,035

2019: $125

Payments by company in 2019
Alimera SciencesIluvien$125
1 payment
  • Meals for Iluvien · 2019-09-23 · $125

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1013278118
Licence
CA A141803California A141803: Current · expires 2028-04-30
Trained
Mayo Medical School, 2012
Group
Stanford Health Care · County of Santa Clara
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207WX0107X (207WX0107X); Federal specialty code 207W00000X (207W00000X); Student in a training program (390200000X)
Mailing address
2452 Watson Ct, Palo Alto, CA, 94303
NPI first listed
2012-06-05
NPI last updated
2024-04-04
NPI record certified
2024-04-04

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 2452 Watson Ct, Palo Alto, CA, 94303