DR. CAROLE J. SMITH MD
NPI 1023087566
Family Medicine in Pembroke, MA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
28 RIVERSIDE DR, PEMBROKE, MA 02359(781) 826-8065(781) 826-8043 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2016, Jan 14, 2016 (2 updates tracked since 2016).

About Dr. Carole J. Smith Md NPPES

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

DR. CAROLE J. SMITH MD (NPI 1023087566) is an individual family medicine provider in Pembroke, Massachusetts, licensed in Massachusetts (220572) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of University Of Massachusetts Medical School (2001).

NPPES Registry Identity

NPI1023087566
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROLE J. SMITHCredential: MD
Location Address28 RIVERSIDE DRPembroke, MA 02359-1937
Mailing Address28 Riverside DrPembroke, MA 02359-1937 · (781) 826-8065 · Fax (781) 826-8043
Fax(781) 826-8043
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2001
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 22, 20162 updates tracked since enumeration
NPI 1023087566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MA · 220572 Licensed in RI · MD15209 Licensed in NY · 282496 Licensed in ME · MD20873
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
28 RIVERSIDE DR, Pembroke, MA 02359

Other Identifiers 6

Medicare UPINI10311MA
Medicaid2071380MA
OtherAA15512MA · Harvard Pilgrim
Other469458MA · Tufts Health Plan
Medicare PINSX4039MA
OtherJ27786MA · Blue Cross Blue Shield

Accepted 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

Dr. Carole J. 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 ID9537130497
PECOS Enrollment IDI20040804000283
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 14

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.

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.
898 services794 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
275 services259 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
193 services172 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
133 services128 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.
90 services90 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.
83 services83 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02359 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers24 claims62 services$6.79 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$11.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$58.56 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 14

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

Family Medicine
28 RIVERSIDE DR
PEMBROKE, MA 02359
Family Medicine
28 RIVERSIDE DR
PEMBROKE, MA 02359
Counselor (Mental Health)
28 RIVERSIDE DR
PEMBROKE, MA 02359
Nurse Practitioner (Family)
28 RIVERSIDE DR
PEMBROKE, MA 02359
Nurse Practitioner
28 RIVERSIDE DR
PEMBROKE, MA 02359
Physician Assistant
28 RIVERSIDE DR
PEMBROKE, MA 02359
Family Medicine
28 RIVERSIDE DR
PEMBROKE, MA 02359
Clinic/Center (Adult Mental Health)
28 RIVERSIDE DR
PEMBROKE, MA 02359

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 Carole Smith's NPI number?

The NPI number for Carole Smith is 1023087566. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Carole Smith located?

Carole Smith practices at 28 Riverside Dr, Pembroke, MA 02359. The listed phone number is (781) 826-8065.

What is Carole Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carole Smith enrolled in Medicare?

Yes. Carole 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 Carole Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Carole 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 Carole Smith affiliated with any hospitals?

According to CMS data, Carole Smith is affiliated with South Shore Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Carole Smith was last updated on February 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.