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DR. JOHNNY DWAYNE SMITH D.O.
NPI 1043239817
Family Medicine in Buckhannon, WV

Active since July 19, 2006PECOS Enrolled
11 N LOCUST ST, BUCKHANNON, WV 26201(304) 472-1600(304) 472-6055 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Johnny Dwayne Smith D.o. NPPES

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

DR. JOHNNY DWAYNE SMITH D.O. (NPI 1043239817) is an individual family medicine provider in Buckhannon, West Virginia, licensed in West Virginia (1672) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043239817
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHNNY DWAYNE SMITHCredential: D.O.
Location Address11 N LOCUST STBuckhannon, WV 26201-2231
Mailing Address11 N Locust StBuckhannon, WV 26201-2231 · (304) 472-1600 · Fax (304) 472-6055
Phone(304) 472-1600
Fax(304) 472-6055
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1043239817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 1672
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.
11 N LOCUST ST, Buckhannon, WV 26201
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Other Identifiers 8

Medicaid3810001252WV
Other001721766WV · Bcbs
OtherP00154078WV · Railroad Medicare
Medicare PINSM4144761WV
Medicare PINSM4144762WV
Other001721765WV · Mountain State Bcbs
OtherWV01672WV · Health Plan
Medicare UPINI19135WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnny Dwayne Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26201 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 8

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

DR. GREGORY MICHAEL PETERS M.D.
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 473-1440
CENTRAL WV MEDCORP, INC
Clinical Medical Laboratory
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-4968
DR. IRA FRANKLIN HARTMAN M.D.
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
CENTRAL WV MEDCORP, INC.
Internal Medicine (Geriatric Medicine)
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
KESSA D. THORPE PA-C
Physician Assistant
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
DR. STEPHEN MICHAEL SMITH M.D.
Internal Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
MS. THERESA ANN BLACK FNP-BC
Nurse Practitioner (Family)
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
DAVIS MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600

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 Johnny Smith's NPI number?

The NPI number for Johnny Smith is 1043239817. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Johnny Smith located?

Johnny Smith practices at 11 N Locust St, Buckhannon, WV 26201. The listed phone number is (304) 472-1600.

What is Johnny Smith's specialty?

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

Is Johnny Smith enrolled in Medicare?

Yes. Johnny Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Smith was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.