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DONALD SMITH MD
NPI 1063413631
Internal Medicine in Falmouth, MA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
100 TER HEUN DRIVE, FALMOUTH HOSPITAL, FALMOUTH, MA 02540(508) 457-3748(508) 457-3749 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Smith Md NPPES

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

DONALD SMITH MD (NPI 1063413631) is an individual internal medicine provider in Falmouth, Massachusetts, licensed in Massachusetts (226421) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1998).

NPPES Registry Identity

NPI1063413631
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDONALD SMITHCredential: MD
Location Address100 TER HEUN DRIVE, FALMOUTH HOSPITALFalmouth, MA 02540
Mailing Address25 Communication WayHyannis, MA 02601 · (508) 957-8664 · Fax (508) 957-8677
Phone(508) 457-3748
Fax(508) 457-3749
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1998
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 14, 2010
✔ NPI 1063413631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 226421✔ Licensed in TX · L0939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 TER HEUN DRIVE, Falmouth, MA 02540
Open in Google Maps ↗

Other Identifiers 5

Medicare PINA39180
Medicare UPINH47321
Medicare ID-Type Unspecified8B1438TX
Medicaid147043702TX
OtherJ29309MA · Bcbs

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

Donald Smith 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 ID3971599937
PECOS Enrollment IDI20050927000992
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
505 services266 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
360 services241 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services141 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
77 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier13 claims13 services$908.41 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 14

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

JOHN W NOLAN PA
Physician Assistant
100 TER HEUN DRIVE, FALMOUTH HOSPITAL EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
Barnstable County (508) 457-3929
MISS NANCY JEANNE WOITKOSKI CRNA
Nurse Anesthetist, Certified Registered
100 TER HEUN DRIVE, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
Barnstable County (508) 457-3580
MATTHEW LEONARD GOMBERG PA
Physician Assistant
100 TER HEUN DRIVE
FALMOUTH, MA 02540
Barnstable County (413) 539-8800
MARK K DURFEE MD
Emergency Medicine
100 TER HEUN DRIVE, FALMOUTH HOSPITAL EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
Barnstable County (508) 457-3929
KIM M. ROCHON NP
Nurse Practitioner (Acute Care)
100 TER HEUN DRIVE
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
STACY E HOSTETTER NP
Nurse Practitioner (Family)
100 TER HEUN DRIVE, FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
Barnstable County (508) 457-3748
JOHN R DOYLE MD
Emergency Medicine
100 TER HEUN DRIVE, FALMOUTH HOSPITAL EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
Barnstable County (508) 457-3929
NANCY A SCHAEFER MD
Emergency Medicine
100 TER HEUN DRIVE, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
Barnstable County (508) 457-3929

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 1063413631. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Donald Smith located?

Donald Smith practices at 100 Ter Heun Drive Falmouth Hospital, Falmouth, MA 02540. The listed phone number is (508) 457-3748.

What is Donald Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.

Is Donald Smith affiliated with any hospitals?

According to CMS data, Donald Smith is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Donald Smith was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.