DR. SHANNON MARIE SMITH MD/MPH
NPI 1043673791
Urology in Fairbanks, AK

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
1650 COWLES ST, FAIRBANKS, AK 99701(907) 458-2630(907) 459-3508 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Apr 15, 2022, Aug 5, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Shannon Marie Smith Md/mph NPPES

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

DR. SHANNON MARIE SMITH MD/MPH (NPI 1043673791) is an individual urology provider in Fairbanks, Alaska, licensed in Alaska (232073) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043673791
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. SHANNON MARIE SMITHCredential: MD/MPH
Location Address1650 COWLES STFairbanks, AK 99701-5907
Mailing Address1650 Cowles StFairbanks, AK 99701-5907 · (907) 458-2630 · Fax (907) 459-3508
Fax(907) 459-3508
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateJune 12, 20256 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1043673791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in AK · 232073 Licensed in CA · A172902
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1650 COWLES ST, Fairbanks, AK 99701

Secondary Practice Location 1

Location 18635 W 3rd St # 420ELos Angeles, CA 90048-6101 · Phone (310) 423-4256 · Fax (310) 423-4711

Other Identifiers 1

Medicaid1753434AK

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

Dr. Shannon Marie Smith Md/mph 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 ID6204170004
PECOS Enrollment IDI20250213003545
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 15

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
124 services81 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.
60 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services41 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
40 services35 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
37 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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.

Pharmacy (Home Infusion Therapy Pharmacy)
1650 COWLES ST, DEPT 41B
FAIRBANKS, AK 99701
Nurse Anesthetist, Certified Registered
1650 COWLES ST
FAIRBANKS, AK 99701
Physical Therapist
1650 COWLES ST
FAIRBANKS, AK 99701
Internal Medicine
1650 COWLES ST
FAIRBANKS, AK 99701
Anesthesiology
1650 COWLES ST
FAIRBANKS, AK 99701
Physician Assistant
1650 COWLES ST
FAIRBANKS, AK 99701
Internal Medicine (Critical Care Medicine)
1650 COWLES ST, SUITE 280 NT
FAIRBANKS, AK 99701
Pediatrics
1650 COWLES ST
FAIRBANKS, AK 99701

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 Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1043673791. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Shannon Smith located?

Shannon Smith practices at 1650 Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 458-2630.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shannon Smith enrolled in Medicare?

Yes. Shannon 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 Shannon Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shannon 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.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.