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DR. STEVAN A SMITH DMD
NPI 1073641742
Dentist in New York, NY

Active since March 02, 2007Opted out of Medicare · through Jan 19, 2028
340 MADISON AVENUE, SUITE 4C, NEW YORK, NY 10173(212) 878-1300(212) 687-0776 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stevan A Smith Dmd NPPES

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

DR. STEVAN A SMITH DMD (NPI 1073641742) is an individual dentist in New York, New York, licensed in New York (035026) and active in the NPI registry since March 2007. He has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073641742
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. STEVAN A SMITHCredential: DMD
Location Address340 MADISON AVENUE, SUITE 4CNew York, NY 10173
Mailing Address340 Madison Avenue, Suite 4cNew York, NY 10173 · (212) 878-1300 · Fax (212) 687-0776
Phone(212) 878-1300
Fax(212) 687-0776
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073641742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 035026
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
340 MADISON AVENUE, New York, NY 10173
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Stevan A Smith Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2016 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2016
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10173 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Stevan Smith's NPI number?

The NPI number for Stevan Smith is 1073641742. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Stevan Smith located?

Stevan Smith practices at 340 Madison Avenue Suite 4C, New York, NY 10173. The listed phone number is (212) 878-1300.

What is Stevan Smith's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stevan Smith enrolled in Medicare?

No. Stevan Smith has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stevan Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.