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CHARLIE DORN SMITH III MD
NPI 1003874892
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lake City, SC

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
2322 BURNT BRANCH RD, LAKE CITY, SC 29560(843) 687-0153(843) 673-9457 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Nov 19, 2025, Oct 23, 2020 (3 updates tracked since 2020).

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 is a graduate of University Of South Carolina School Of Medicine (1985).

NPPES Registry Identity

NPI1003874892
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameCHARLIE DORN SMITH IIICredential: MD
Location Address2322 BURNT BRANCH RDLake City, SC 29560-7910
Mailing Address2322 Burnt Branch RdLake City, SC 29560-7910 · (843) 687-0153
Phone(843) 687-0153
Fax(843) 673-9457
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1985
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1003874892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in SC · 13042✔ Licensed in NC · 2023-01615
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2322 BURNT BRANCH RD, Lake City, SC 29560
Open in Google Maps ↗

Other Identifiers 3

Other1679530968SC · Group Npi
Medicaid130423SC
Other7937SC · Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, CareSource, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5395648117
PECOS Enrollment IDI20120815000318, I20260211002267
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.

Hospital Affiliations CMS Care Compare 3

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, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician 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.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

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.

What insurance does Charlie Smith accept?

Health plans from Avera Health Plans, CareSource and Sanford Health Plan 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, 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 December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.