JAMES D SMITH III MD
NPI 1053409060
Orthopaedic Surgery in Gadsden, AL

Q: What is James Smith's NPI number?

The NPI number for James Smith is 1053409060. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is James Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Smith was last updated on March 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

70.65/100

CMS Quality Rating

100 MEDICAL CENTER DR, SUITE 101, GADSDEN, AL 35903(256) 492-8590(256) 492-4498 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James D Smith Iii Md NPPES

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

JAMES D SMITH III MD (NPI 1053409060) is an individual orthopaedic surgery provider in Gadsden, Alabama, licensed in Alabama (26762) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2003).

NPPES Registry Identity

NPI1053409060

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJAMES D SMITH IIICredential: MD

Location Address100 MEDICAL CENTER DR, SUITE 101Gadsden, AL 35903-1134

Mailing Address100 Medical Center Dr, Suite 101Gadsden, AL 35903-1134 · (256) 492-8590 · Fax (256) 492-4498

Phone(256) 492-8590

Fax(256) 492-4498

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2003

Enumeration DateOctober 11, 2006

Last NPPES UpdateMarch 13, 2015

✔ NPI 1053409060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in AL · 26762✔ Licensed in KY · 41542✔ Licensed in MO · 2009011512✔ Licensed in KS · 0433724

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 41542 (KY), 2009011512 (MO), 0433724 (KS)

100 MEDICAL CENTER DR, Gadsden, AL 35903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

James D Smith Iii Md 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 ID143397455

PECOS Enrollment IDI20150728004846

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 19

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 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.

984 services383 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

406 services307 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

285 services175 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

183 services84 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

126 services96 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.

112 services112 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

104 services49 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

95 services66 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

72 services70 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

63 services44 patients

X-ray of middle spine, minimum of 4 views 72074

An X-ray of the middle spine with a minimum of 4 views is a diagnostic procedure. It uses a small amount of radiation to create images of the bones in your mid-back area. This helps to identify any abnormalities such as fractures, infections, or tumors. It's a non-invasive and quick process.

55 services44 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

31 services30 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

21 services12 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

21 services16 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

20 services18 patients

Closed treatment of broken spine bone with cast or brace 22310

This procedure involves treating a fractured spine bone without surgery. A cast or brace is used to stabilize the bone, allowing it to heal naturally. This method can limit movement, reduce pain, and promote recovery.

19 services18 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

19 services14 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

15 services14 patients

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.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35903 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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.

70.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

48.27

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

74%1,070 patients3/55-star benchmark: 100%

Functional Outcome Assessment

0%5,954 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 70% · 1,553 patients

Patients screened: 73% · 1,553 patients

77%225 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%2,507 patients3/55-star benchmark: 100%

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy

94%747 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

96%57 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$38.11 avg. paid by Medicare

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier13 claims13 services$3,755.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

GEORGE C ROBINSON M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903

Etowah County (256) 456-0226

HUGH'S PHARMACY, INC

Pharmacy

100 MEDICAL CENTER DR, SUITE 102
GADSDEN, AL 35903

Etowah County (256) 492-7407

LARRY TED JONES DMD

Dentist (Oral and Maxillofacial Surgery)

100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903

Etowah County (256) 492-6363

DEROK S CORNWELL PA

Physician Assistant

100 MEDICAL CENTER DR, SUITE 101
GADSDEN, AL 35903

Etowah County (256) 492-8590

HANGER PROSTHETICS & ORTHOTICS, INC.

Prosthetic/Orthotic Supplier

100 MEDICAL CENTER DR, SUITE 302
GADSDEN, AL 35903

Etowah County (503) 493-8288

BOB DEAN GROSS DDS

Dentist (Oral and Maxillofacial Surgery)

100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903

Etowah County (256) 492-6363

ENMPC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

100 MEDICAL CENTER DR, SUITE 305
GADSDEN, AL 35903

Etowah County (256) 494-0990

NEUROLOGICAL SPECIALISTS PC

Specialist

100 MEDICAL CENTER DR, STE 402
GADSDEN, AL 35903

Etowah County (256) 492-3571

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 James Smith's NPI number?

The NPI number for James Smith is 1053409060. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is James Smith located?

James Smith practices at 100 Medical Center Dr Suite 101, Gadsden, AL 35903. The listed phone number is (256) 492-8590.

What is James Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Smith enrolled in Medicare?

Yes. James 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 James Smith accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list James 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 James Smith was last updated on March 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.