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MR. JOSHUA DANIEL SMITH DO
NPI 1043584485
Otolaryngology in Marshfield, WI

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVENUE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Apr 2, 2021, Jun 2, 2017 (3 updates tracked since 2017).

About Mr. Joshua Daniel Smith Do NPPES

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

MR. JOSHUA DANIEL SMITH DO (NPI 1043584485) is an individual otolaryngology provider in Marshfield, Wisconsin, licensed in Wisconsin (68614) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1043584485
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. JOSHUA DANIEL SMITHCredential: DO
Location Address1000 N OAK AVENUEMarshfield, WI 54449
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 387-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 2, 2012
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1043584485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in WI · 68614✔ Licensed in FL · OS14048
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1000 N OAK AVENUE, Marshfield, WI 54449
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Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-3775

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Mr. Joshua Daniel Smith Do 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 ID3173768645
PECOS Enrollment IDI20180927002741
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients
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.
14 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 17

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

MICHAEL J. KATSNELSON M.D.
Psychiatry & Neurology (Neurology)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
ZAIN WAHAB
Family Medicine
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
DR. ABDALLAH QASIM MBBS
Internal Medicine (Nephrology)
1000 N OAK AVENUE, OR
MARSHFIELD, WI 54449
Wood County (715) 387-5511
DR. BRETT SORGE MD
Emergency Medicine
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
DR. LUIS H ZAMORA-SILIEZAR M.D.
Pediatrics (Pediatric Endocrinology)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
MATTHEW JOHN BILLER MD
Psychiatry & Neurology (Psychiatry)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
JASMIN MORADI MD
Pediatrics (Pediatric Critical Care Medicine)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
CHRIS PAUL LIAKONIS DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Wood County (715) 387-5511

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 Joshua Smith's NPI number?

The NPI number for Joshua Smith is 1043584485. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Joshua Smith located?

Joshua Smith practices at 1000 N Oak Avenue, Marshfield, WI 54449. The listed phone number is (715) 387-5511.

What is Joshua Smith's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joshua Smith enrolled in Medicare?

Yes. Joshua 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 Joshua Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Oscar Health Maintenance Organization of Florida and Sanford Health Plan list Joshua 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 Joshua Smith affiliated with any hospitals?

According to CMS data, Joshua Smith is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Smith was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.