CHARLIE DORN SMITH III MD
NPI 1003874892
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lake City, SC
About Charlie Dorn Smith Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE DORN SMITH III MD (NPI 1003874892) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lake City, South Carolina, licensed in South Carolina (13042) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 3
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
Charlie Dorn Smith Iii 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.
Medicare Billing Reassignments
8Medicare enrollment records show Charlie Smith reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Florence, SC 29505
- Reassigned Medicare billing, South Carolina enrollment
- 509 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Whitmire, SC 29178
- Reassigned Medicare billing, South Carolina enrollment
- 754 clinicians in this Medicare group
Hendersonville, NC 28791
- Reassigned Medicare billing, North Carolina enrollment
- 401 clinicians in this Medicare group
Nicholasville, KY 40356
- Reassigned Medicare billing, Kentucky enrollment
- 999 clinicians in this Medicare group
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Wall, SD 57790
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Margaret R Pardee Memorial Hospital
Acute Care Hospitals · Hendersonville, NCSpartanburg Medical Center
Acute Care Hospitals · Spartanburg, SCGrand Strand Regional Medical Center
Acute Care Hospitals · Myrtle Beach, SCMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Charlie Smith's NPI number?
The NPI number for Charlie Smith is 1003874892. It was assigned to this individual provider in the NPPES registry on May 2, 2006.
Where is Charlie Smith located?
Charlie Smith practices at 2322 Burnt Branch Rd, Lake City, SC 29560. The listed phone number is (843) 687-0153.
What is Charlie Smith's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Charlie Smith enrolled in Medicare?
Yes. Charlie 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 organizations bill Medicare for Charlie Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Smith reassigns Medicare benefits to 8 organizations: Carolina Family Care, Inc (Florence, SC), Musc Community Physicians (Bamberg, SC), Spartanburg Medical Center (Whitmire, SC), Henderson County Hospital Corporation (Hendersonville, NC), Baptist Health Medical Group Inc (Nicholasville, KY) and 3 more organizations, listed in the Medicare section above. Each 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 Charlie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlie Smith accept?
Health plans from Avera Health Plans, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, CareSource and InStil Health and 3 other insurers list Charlie 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 Charlie Smith affiliated with any hospitals?
According to CMS data, Charlie Smith is affiliated with Margaret R Pardee Memorial Hospital, Spartanburg Medical Center, Grand Strand Regional Medical Center and Monument Health Rapid City Hospital.
When was this NPI record last updated?
The NPPES record for Charlie Smith was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Charlie Dorn Smith III, MD · NPI 1003874892
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Lake City, South Carolina. Individual provider, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1003874892 (Entity type: Individual)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 13042 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2322 BURNT BRANCH RD, Lake City, SC 29560-7910
- **Phone:** (843) 687-0153 · **Fax:** (843) 673-9457
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Carolina Family Care, Inc (NPI 1093076457, Florence, SC); Musc Community Physicians (NPI 1841878006, Bamberg, SC); Spartanburg Medical Center (NPI 1699150995, Whitmire, SC); Henderson County Hospital Corporation (NPI 1447444559, Hendersonville, NC); Baptist Health Medical Group Inc (NPI 1255805586, Nicholasville, KY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** October 23, 2026
- **Other identifiers:** Medicaid 130423 (SC); Other 1679530968 (SC); Other 7937 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003874892) · Data from the CMS NPPES public registry.