LORI S SMETANA MD
NPI 1063404218
Obstetrics & Gynecology in Spokane, WA
NPI Status: Active since August 15, 2005
Contact Information
601 W 5TH AVE
SUITE #301
SPOKANE, WA
ZIP 99204
Phone: (509) 455-8866
Fax: (509) 838-3411
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
About LORI SMETANA
This page provides the complete NPI Profile along with additional information for Lori Smetana, a women's health care provider established in Spokane, Washington with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063404218 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X with license number MD00033714 (WA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1063404218
- Provider Name
- LORI S SMETANA MD
- Other Name
- LORI SAYERS M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 W 5TH AVE SUITE #301 SPOKANE, WA 99204
- Location Phone
- (509) 455-8866
- Location Fax
- (509) 838-3411
- Mailing Address
- 601 W 5TH AVE SUITE #301 SPOKANE, WA 99204
- Mailing Phone
- (509) 455-8866
- Mailing Fax
- (509) 838-3411
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-15-2005
- Last Update Date
- 02-14-2012
- Code Navigator
Women's health care providers like Lori Smetana treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00033714
- License State
- WA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | MD00033714 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G27542 | MEDICARE UPIN (02) | WA | |
| AB16967 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | |
| 8192668 | MEDICAID (05) | WA | |
| A007 | OTHER (01) | WA | TRIWEST |
| SM3651 | OTHER (01) | WA | ASURIS |
Medicare Participation & PECOS Enrollment Status
Lori Smetana is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 99204 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.99
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $32.74
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for LORI S SMETANA MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 0 | 4 | 2 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 0 | 8 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 0 + 8 + 2 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1063404218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
FLOYD MARTIN MCCAFFREE MD
Obstetrics & Gynecology
601 W 5TH AVE
SUITE #301
SPOKANE, WA
ZIP 99204
MR. JOHN P HATCHER MS OTRL CHT
Occupational Therapist
601 W 5TH AVE
SUITE 304
SPOKANE, WA
ZIP 99204
KATHLEEN HATCHER OTRL
Occupational Therapist
601 W 5TH AVE
SUITE 304
SPOKANE, WA
ZIP 99204
ROBERT C BREWSTER M.D.
Orthopaedic Surgery
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
ALAN R DANIELSON M.D.
Orthopaedic Surgery
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
JAY BRIAN REYNOLDS M.D.
Anesthesiology
601 W 5TH AVE
SUITE 500
SPOKANE, WA
ZIP 99204
HENRY H LIN M.D.
Orthopaedic Surgery
(Hand Surgery)
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
JOHN K SHUSTER M.D.
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
RANDELL S JAMES CRNA
Nurse Anesthetist, Certified Registered
601 W 5TH AVE
SUITE 500
SPOKANE, WA
ZIP 99204
RUSSELL S VANDERWILDE M.D.
Orthopaedic Surgery
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
MR. PATRICK JOHN SCHMIDT JR. PT
Physical Therapist
601 W 5TH AVE
STE. 308
SPOKANE, WA
ZIP 99204
MR. LARRY K LAMB MD
Physical Medicine & Rehabilitation
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
DR. JOSHUA D DAWLEY M.D.
Anesthesiology
601 W 5TH AVE
SUITE 500
SPOKANE, WA
ZIP 99204
MARK C OLSON M.D.
Orthopaedic Surgery
601 W 5TH AVE
STE 400
SPOKANE, WA
ZIP 99204
LEANN G BACH PA-C
Physician Assistant
601 W 5TH AVE
SUITE 400
SPOKANE, WA
ZIP 99204
VERA H CHENG M.D.
Anesthesiology
601 W 5TH AVE
SUITE 500
SPOKANE, WA
ZIP 99204
INSPIRE PHYSICAL THERAPY SPOKANE INC PS
Physical Therapist
601 W 5TH AVE
SUITE 308
SPOKANE, WA
ZIP 99204
MS. KARI BOWTON OT
Occupational Therapist
601 W 5TH AVE
STE 304
SPOKANE, WA
ZIP 99204
DAVID MICHAEL LANGBEHN AS-CRNA
Nurse Anesthetist, Certified Registered
601 W 5TH AVE
SUITE 500
SPOKANE, WA
ZIP 99204
OB/GYN ASSOCIATES OF SPOKANE, PS
Specialist
601 W 5TH AVE
SUITE #301
SPOKANE, WA
ZIP 99204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063404218, enumerated as an "individual" on August 15, 2005.
The provider is located at 601 W 5TH AVE SUITE #301 SPOKANE, WA 99204 and the phone number is (509) 455-8866.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
