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DR. STACY L SMITHSON M.D.
NPI 1063499895
Obstetrics & Gynecology in Lebanon, KY

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
320 N LORETTO RD, LEBANON, KY 40033(270) 692-6131 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Jul 13, 2023, Sep 21, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Stacy L Smithson M.d. NPPES

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

DR. STACY L SMITHSON M.D. (NPI 1063499895) is an individual obstetrics & gynecology provider in Lebanon, Kentucky, licensed in Kentucky (C4582) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).

NPPES Registry Identity

NPI1063499895
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. STACY L SMITHSONCredential: M.D.
Location Address320 N LORETTO RDLebanon, KY 40033-1300
Mailing Address1621 W Morris Blvd Ste AMorristown, TN 37813-2967 · (423) 492-7100
Phone(270) 692-6131
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1989
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 28, 20256 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1063499895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in KY · C4582✔ Licensed in NH · 22067✔ Licensed in SC · 18049✔ Licensed in OR · MD198221✔ Licensed in TN · 68868
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License 18049 (SC)
320 N LORETTO RD, Lebanon, KY 40033
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Other Identifiers 3

MedicaidI80496SC
MedicaidGP3644SC
MedicaidQ084683TN

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. Stacy L Smithson M.d. 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 ID1456329002
PECOS Enrollment IDI20251112004082
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40033 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
30%99 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
76%633 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%650 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 13% · 586 patients
12%585 patients1/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 4

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

SPRING VIEW HOSPITAL LLC
Psychiatric Unit
320 N LORETTO RD
LEBANON, KY 40033
Marion County (270) 692-3161
MRS. STEFANIE KAYE SPALDING MSN, APRN, NP-C
Nurse Practitioner
320 N LORETTO RD
LEBANON, KY 40033
Marion County (270) 692-5187
THERESA MAHONEY PHARMD
Pharmacist
320 N LORETTO RD
LEBANON, KY 40033
Marion County (270) 692-5276
KATHERINE GORDON CCC SLP
Speech-Language Pathologist
320 N LORETTO RD
LEBANON, KY 40033
Marion County (270) 699-5788

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 Stacy Smithson's NPI number?

The NPI number for Stacy Smithson is 1063499895. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Stacy Smithson located?

Stacy Smithson practices at 320 N Loretto Rd, Lebanon, KY 40033. The listed phone number is (270) 692-6131.

What is Stacy Smithson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stacy Smithson enrolled in Medicare?

Yes. Stacy Smithson 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.

When was this NPI record last updated?

The NPPES record for Stacy Smithson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.