DR. DONALD TODD SMITH PHD RN AGACNP-BC NPC
NPI 1043615420
Nurse Practitioner - Family in Sidney, OH

Active since October 28, 2014PECOS EnrolledAccepts Medicare Assignment
915 MICHIGAN ST, SIDNEY, OH 45365(937) 498-2311 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Jul 29, 2024, May 14, 2024 and 5 more (8 updates tracked since 2017).

About Dr. Donald Todd Smith Phd Rn Agacnp-bc Npc NPPES

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

DR. DONALD TODD SMITH PHD RN AGACNP-BC NPC (NPI 1043615420) is an individual family provider in Sidney, Ohio, licensed in Ohio (APRN.CNP.14374) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043615420
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. DONALD TODD SMITHCredential: PHD RN AGACNP-BC NPC
Location Address915 MICHIGAN STSidney, OH 45365-2401
Mailing Address42755 Eastman Ridge RdPomeroy, OH 45769-6504 · (740) 508-0211
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 28, 2014
Last NPPES UpdateJune 18, 20258 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1043615420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · APRN.CNP.14374✔ Licensed in KY · 3018526
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP014232 (PA), 71014596A (IN), 14374 (OH)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024170679 (VA)
915 MICHIGAN ST, Sidney, OH 45365

Secondary Practice Locations 4

Location 11250 E Marshall St, Dept. of Emergency MedicineRichmond, VA 23298-5051 · Phone (804) 828-0996 · Fax (804) 628-0386
Location 2405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3874 · Fax (937) 723-4209
Location 31201 Pleasant Valley RdOwensboro, KY 42303-9811 · Phone (270) 417-5911
Location 4440 Hopkinsville StGreenville, KY 42345-1124 · Phone (270) 338-8000 · Fax (270) 338-8333

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald Todd Smith Phd Rn Agacnp-bc Npc 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 ID2961794029
PECOS Enrollment IDI20160711000536, I20230712000445, I20241008000239, I20250909001739, I20251111003911
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.

Medicare Billing Reassignments

33

Medicare enrollment records show Donald Smith reassigns Medicare billing to 33 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
Physician Assistant
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
Emergency Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 99 clinicians in this Medicare group
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
Emergency Medicine
630 E RIVER ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 251 clinicians in this Medicare group
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
Interventional Cardiology
426 8TH ST STE 300
Glen Dale, WV 26038
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
285 services282 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.
71 services70 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.
27 services27 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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.

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.

Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Nurse Practitioner (Pediatrics)
915 MICHIGAN ST
SIDNEY, OH 45365
Surgery
915 MICHIGAN ST
SIDNEY, OH 45365
Optometrist
915 MICHIGAN ST
SIDNEY, OH 45365
Pharmacist
915 MICHIGAN ST
SIDNEY, OH 45365
Obstetrics & Gynecology
915 MICHIGAN ST, YAGER BLDG. SUITE 202
SIDNEY, OH 45365
Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Emergency Medicine
915 MICHIGAN ST
SIDNEY, OH 45365

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 Donald Smith's NPI number?

The NPI number for Donald Smith is 1043615420. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Donald Smith located?

Donald Smith practices at 915 Michigan St, Sidney, OH 45365. The listed phone number is (937) 498-2311.

What is Donald Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Smith enrolled in Medicare?

Yes. Donald 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.

Which organizations bill Medicare for Donald Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Smith reassigns Medicare benefits to 33 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Inphynet Primary Care Physicians Midwest, S.C. (Fort Wayne, IN), Hospitalist Medicine Physicians Of Ohio - Cincinnati Professional Corp (Chillicothe, OH), Emergency Professional Services, Inc. (Seaman, OH) and 28 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare, Oscar Health and Oscar Insurance Company and 2 other insurers list Donald 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 Donald Smith affiliated with any hospitals?

According to CMS data, Donald Smith is affiliated with Owensboro Health Muhlenberg Community Hospital, Davis Medical Center, Potomac Valley Hospital, St Joseph's Hospital Of Buckhannon, Inc and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Donald Smith was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.