JOHN SMITH MD
NPI 1033103734
Emergency Medicine - Emergency Medical Services in Sandusky, OH

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
92.04/100
CMS Quality Rating
1101 DECATUR ST, SANDUSKY, OH 44870(419) 626-7400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Smith Md NPPES

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

JOHN SMITH MD (NPI 1033103734) is an individual emergency medical services provider in Sandusky, Ohio, licensed in Ohio (35056121S) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Medical College Of Ohio (1982).

NPPES Registry Identity

NPI1033103734
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJOHN SMITHCredential: MD
Location Address1101 DECATUR STSandusky, OH 44870-3335
Mailing Address2203 Eagles Nest CirSandusky, OH 44870-7024 · (419) 625-1343
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1982
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1033103734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in OH · 35056121S
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1101 DECATUR ST, Sandusky, OH 44870

Other Identifiers 3

Medicare UPINF04244
Medicare ID-Type UnspecifiedSM0753892OH
Medicaid0883343OH

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

John 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 ID5092719393
PECOS Enrollment IDI20060829000064
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
419 services355 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
232 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
186 services179 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
72 services71 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
47 services46 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

92.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.26
Improvement Activities40

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
11%35 patients
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
99%1,393 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
1101 DECATUR ST
SANDUSKY, OH 44870
Physical Therapist
1101 DECATUR ST
SANDUSKY, OH 44870
Specialist
1101 DECATUR ST
SANDUSKY, OH 44870
Clinical Medical Laboratory
1101 DECATUR ST, 1ST FLOOR LABORATORY
SANDUSKY, OH 44870
Dietitian, Registered
1101 DECATUR ST
SANDUSKY, OH 44870
Emergency Medicine (Emergency Medical Services)
1101 DECATUR ST
SANDUSKY, OH 44870
Physical Therapist
1101 DECATUR ST
SANDUSKY, OH 44870
Radiology (Radiation Oncology)
1101 DECATUR ST
SANDUSKY, OH 44870

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 John Smith's NPI number?

The NPI number for John Smith is 1033103734. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is John Smith located?

John Smith practices at 1101 Decatur St, Sandusky, OH 44870. The listed phone number is (419) 626-7400.

What is John Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is John Smith enrolled in Medicare?

Yes. John 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 John Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list John 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 John Smith affiliated with any hospitals?

According to CMS data, John Smith is affiliated with Firelands Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.