WILBURN JACKSON SMITH III MD
NPI 1023162492
Pediatrics - Pediatric Endocrinology in Lexington, KY

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-6211 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilburn Jackson Smith Iii Md NPPES

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

WILBURN JACKSON SMITH III MD (NPI 1023162492) is an individual pediatric endocrinology provider in Lexington, Kentucky, licensed in Kentucky (30888) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Duke University School Of Medicine (1982).

NPPES Registry Identity

NPI1023162492
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameWILBURN JACKSON SMITH IIICredential: MD
Location Address740 S LIMESTONELexington, KY 40536-0001
Mailing Address2333 Alumni Park Plz, Suite 200Lexington, KY 40517-4012 · (859) 257-7910
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1982
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 17, 2008
NPI 1023162492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in KY · 30888
Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

740 S LIMESTONE, Lexington, KY 40536

Other Identifiers 3

Medicare UPINE49980
Medicaid64308885KY
Medicare ID-Type Unspecified0054927

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

Wilburn Jackson 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 ID2163584160
PECOS Enrollment IDI20081230000259
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 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.

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.
27 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers15 claims188 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers15 claims534 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims36 services$5.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers73 claims73 services$177.53 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 20

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536

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 Wilburn Smith's NPI number?

The NPI number for Wilburn Smith is 1023162492. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Wilburn Smith located?

Wilburn Smith practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-6211.

What is Wilburn Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Wilburn Smith enrolled in Medicare?

Yes. Wilburn 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 Wilburn Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Wilburn 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 Wilburn Smith affiliated with any hospitals?

According to CMS data, Wilburn Smith is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Wilburn Smith was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.