MICHAEL LOUIS SMITH MD
NPI 1003979261
Neurological Surgery in New York, NY

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
645 MADISON AVE FL 34, NEW YORK, NY 10022(888) 636-7840 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Louis Smith Md NPPES

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

MICHAEL LOUIS SMITH MD (NPI 1003979261) is an individual neurological surgery provider in New York, New York, licensed in New York (244016) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1003979261
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMICHAEL LOUIS SMITHCredential: MD
Location Address645 MADISON AVE FL 34New York, NY 10022-1010
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2020
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1003979261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 244016
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
645 MADISON AVE FL 34, New York, NY 10022

Other Identifiers 1

Medicaid02945820NY

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

Michael Louis Smith 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 ID4880594027
PECOS Enrollment IDI20080304000253, I20201014000957
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.

Areas of Expertise CMS Part B claims 19

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
228 services207 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
141 services141 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.
131 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services90 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
100 services85 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.81
Promoting Interoperability99
Improvement Activities40
Cost49.34

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier23 claims23 services$3,760.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Orthopaedic Surgery
645 MADISON AVE FL 34
NEW YORK, NY 10022
Prosthetic/Orthotic Supplier
645 MADISON AVE FL 34
NEW YORK, NY 10022
Physician Assistant
645 MADISON AVE FL 34
NEW YORK, NY 10022
Physical Medicine & Rehabilitation
645 MADISON AVE FL 34
NEW YORK, NY 10022

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1003979261. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Michael Smith located?

Michael Smith practices at 645 Madison Ave Fl 34, New York, NY 10022. The listed phone number is (888) 636-7840.

What is Michael Smith's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Michael Smith enrolled in Medicare?

Yes. Michael 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.

Is Michael Smith affiliated with any hospitals?

According to CMS data, Michael Smith is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.