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ANTON J SMOLIK M.D.
NPI 1043258387
Family Medicine in Alma, NE

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
715 BROWN ST, ALMA, NE 68920(308) 928-2103(308) 928-2560 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anton J Smolik M.d. NPPES

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

ANTON J SMOLIK M.D. (NPI 1043258387) is an individual family medicine provider in Alma, Nebraska, licensed in Nebraska (22091) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2000).

NPPES Registry Identity

NPI1043258387
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTON J SMOLIKCredential: M.D.
Location Address715 BROWN STAlma, NE 68920-2132
Mailing AddressPo Box 665Alma, NE 68920-0665 · (308) 928-2103 · Fax (308) 928-2560
Phone(308) 928-2103
Fax(308) 928-2560
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2000
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1043258387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 22091
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.

715 BROWN ST, Alma, NE 68920
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Other Identifiers 12

Medicaid100643690BKS
OtherP00340970NE · Railroad Medicare
Medicaid100643690DKS
Medicaid10025411700NE
Medicare NSC5898590001NE
Medicare UPINH64364NE
Medicare PINNA1903002NE
Medicaid10025988200NE
Medicaid10025988300NE
Medicaid10025412200NE
Medicare PIN279925NE
Medicaid100643690CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Anton J Smolik M.d. 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 ID2567417165
PECOS Enrollment IDI20050316000842
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
425 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
383 services194 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
160 services154 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services109 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Brown County Hospital

Critical Access Hospitals · Ainsworth, NE
OwnershipGovernment - Local
CMS Certification Number281325
Location945 East Zero StAinsworth, NE 69210 · Brown County
Emergency services

Tri Valley Health System

Critical Access Hospitals · Cambridge, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281348
Location1305 West Highway 6/34Cambridge, NE 69022 · Furnas County
Emergency services

Valley County Health System

Critical Access Hospitals · Ord, NE
OwnershipGovernment - Local
CMS Certification Number281353
Location2707 L StreetOrd, NE 68862 · Valley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68920 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$18.41 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
4 suppliers42 claims42 services$115.69 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 5

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

JESSICA D STEMPER P.A.-C.
Physician Assistant (Medical)
715 BROWN ST
ALMA, NE 68920
Harlan County (308) 928-2103
HEARTLAND FAMILY MEDICINE, P.C.
Clinic/Center (Primary Care)
715 BROWN ST
ALMA, NE 68920
Harlan County (308) 928-2103
DR. MICHELE L DURR M.D.
Family Medicine
715 BROWN ST
ALMA, NE 68920
Harlan County (308) 928-2103
CAMERON D. KNACKSTEDT D.O.
Family Medicine
715 BROWN ST
ALMA, NE 68920
Harlan County (308) 928-2103
JOHN MICHAEL FINKNER MD
Family Medicine
715 BROWN ST
ALMA, NE 68920
Harlan County (308) 928-2103

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 Anton Smolik's NPI number?

The NPI number for Anton Smolik is 1043258387. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Anton Smolik located?

Anton Smolik practices at 715 Brown St, Alma, NE 68920. The listed phone number is (308) 928-2103.

What is Anton Smolik's specialty?

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

Is Anton Smolik enrolled in Medicare?

Yes. Anton Smolik 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 Anton Smolik accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Anton Smolik 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 Anton Smolik affiliated with any hospitals?

According to CMS data, Anton Smolik is affiliated with Chi Health Good Samaritan, Kearney Regional Medical Center, Brown County Hospital, Tri Valley Health System and Valley County Health System.

When was this NPI record last updated?

The NPPES record for Anton Smolik was last updated on July 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.