CHESTER L SMITH JR. MD
NPI 1003813585
Obstetrics & Gynecology - Gynecology in East Stroudsburg, PA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
369 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-6040(570) 421-2077 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chester L Smith Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESTER L SMITH JR. MD (NPI 1003813585) is an individual gynecology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD021318E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Howard University College Of Medicine (1975).

NPPES Registry Identity

NPI1003813585
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameCHESTER L SMITH JR.Credential: MD
Location Address369 E BROWN STEast Stroudsburg, PA 18301-9101
Mailing Address369 E Brown StEast Stroudsburg, PA 18301-9101 · (570) 421-6040 · Fax (570) 421-2077
Fax(570) 421-2077
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1975
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
✔ NPI 1003813585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in PA · MD021318E
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
369 E BROWN ST, East Stroudsburg, PA 18301

Other Identifiers 2

Medicaid0006701240001PA
Other083358PA · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chester L Smith Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355231085
PECOS Enrollment IDI20040317000744
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chester Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
369 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
38 services38 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
98%60 patients5/55-star benchmark: 93%
Cervical Cancer Screening
91%76 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%177 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
77%168 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%140 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 97% · 76 patients
96%76 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Gynecology)
369 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
369 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology (Gynecology)
369 E BROWN ST
EAST STROUDSBURG, PA 18301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chester Smith's NPI number?

The NPI number for Chester Smith is 1003813585. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Chester Smith located?

Chester Smith practices at 369 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-6040.

What is Chester Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Chester Smith enrolled in Medicare?

Yes. Chester Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Chester Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chester Smith reassigns Medicare benefits to Chester L Smith Jr MD PC (East Stroudsburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chester Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chester Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Chester Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chester Smith affiliated with any hospitals?

According to CMS data, Chester Smith is affiliated with Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Chester Smith was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.