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JAMESY CHARLES SMITH D.O.
NPI 1053632935
Family Medicine in Farmington, MO

Active since June 15, 2010PECOS Enrolled
1103 W LIBERTY ST, FARMINGTON, MO 63640(573) 756-6751(573) 756-6807 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Feb 22, 2021 (2 updates tracked since 2021).

About Jamesy Charles Smith D.o. NPPES

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

JAMESY CHARLES SMITH D.O. (NPI 1053632935) is an individual family medicine provider in Farmington, Missouri, licensed in Missouri (2009018166) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053632935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMESY CHARLES SMITHCredential: D.O.
Location Address1103 W LIBERTY STFarmington, MO 63640-1921
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (573) 756-6751 · Fax (573) 756-6807
Phone(573) 756-6751
Fax(573) 756-6807
Sole ProprietorYes
Enumeration DateJune 15, 2010
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1053632935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2009018166
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2009018166 (MO)
1103 W LIBERTY ST, Farmington, MO 63640
Open in Google Maps ↗

Other Identifiers 2

Other995324600MO · Bndd
Other2009018166MO · Physician License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamesy Charles Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jamesy Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parkland Health Center
Same address
General Practice
1101 W LIBERTY ST
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
NPI 1922016112 (573) 756-6451
State Of Missouri
0.4 mi
Psychiatry
1010 W COLUMBIA ST
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • 26 clinicians in this Medicare group
NPI 1437106705 (573) 218-6792

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers69 claims163 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims35 services$1.05 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers26 claims26 services$42.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers35 claims35 services$116.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers33 claims77 services$42.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers13 claims51 services$16.52 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 20

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

DR. THOMAS J KIRISITS DPM
Podiatrist
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
MR. JOHN DAVID EDWARD COOPER MD
Obstetrics & Gynecology
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
ELISE K DISTEFANO PA-C
Physician Assistant
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 760-8090
MARK M CHIN MD
Internal Medicine (Cardiovascular Disease)
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 760-8488
MR. STEVEN L KURZWEIL M.D.
Surgery
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (636) 344-2101
JOAN AZOURY M.D
Obstetrics & Gynecology
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
AMRESH KUMAR MD
Internal Medicine
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 701-7227
MRS. MEGAN DANIELLE HUHMAN FNP-BC
Nurse Practitioner (Family)
1103 W LIBERTY ST
FARMINGTON, MO 63640
St. Francois County (573) 756-6751

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 Jamesy Smith's NPI number?

The NPI number for Jamesy Smith is 1053632935. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Jamesy Smith located?

Jamesy Smith practices at 1103 W Liberty St, Farmington, MO 63640. The listed phone number is (573) 756-6751.

What is Jamesy Smith's specialty?

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

Is Jamesy Smith enrolled in Medicare?

Yes. Jamesy Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jamesy Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamesy Smith reassigns Medicare benefits to 2 organizations: Parkland Health Center (Farmington, MO) and State Of Missouri (Farmington, MO). 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 Jamesy Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jamesy Smith was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.