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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAUN DANE VILLIERS SMITHSON
NPI 1073744520
Internal Medicine - Interventional Cardiology in Miami, FL

Active since July 31, 2009PECOS EnrolledAccepts Medicare Assignment
74.5/100
CMS Quality Rating
4770 BISCAYNE BLVD STE 680, MIAMI, FL 33137(786) 529-6172 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Nov 8, 2025, Jun 23, 2025 and 2 more (5 updates tracked since 2016).

About Dr. Shaun Dane Villiers Smithson NPPES

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

DR. SHAUN DANE VILLIERS SMITHSON (NPI 1073744520) is an individual interventional cardiology provider in Miami, Florida, licensed in Florida (ME128642) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Aventura.

NPPES Registry Identity

NPI1073744520
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SHAUN DANE VILLIERS SMITHSON
Location Address4770 BISCAYNE BLVD STE 680Miami, FL 33137-3244
Mailing Address4770 Biscayne Blvd Ste 680Miami, FL 33137-3244 · (786) 529-6172 · Fax (305) 506-4387
Phone(786) 529-6172
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2009
Enumeration DateJuly 31, 2009
Last NPPES UpdateSeptember 30, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1073744520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · ME128642
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedHospitalistTaxonomy 208M00000X · License ME128642 (FL)
4770 BISCAYNE BLVD STE 680, Miami, FL 33137
Open in Google Maps ↗

Secondary Practice Location 1

Location 121097 NE 27th Ct Ste 110Aventura, FL 33180-1206 · Phone (786) 529-6172

Other Identifiers 1

Medicaid017967400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaun Dane Villiers Smithson 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 ID8022339571
PECOS Enrollment IDI20160901001149
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

8

Medicare enrollment records show Shaun Smithson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Miami Medical, LLC
Same address
Cardiovascular Disease
4770 BISCAYNE BLVD STE 680
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
NPI 1548130768 (786) 529-6172
South Florida International Cardiology Consultants Inc
0.4 mi
Interventional Cardiology
3801 BISCAYNE BLVD, 3RD FL
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1033119656 (305) 571-0620
Mercy Ekg & Echo Readers, Inc
5.6 mi
Cardiovascular Disease
3663 S MIAMI AVE
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1356433023 (305) 665-4614
Biscayne Echo Associates Inc
11 mi
Cardiovascular Disease
20900 BISCAYNE BLVD, ECHO READERS PANEL
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
NPI 1013924646 (954) 726-1808
Simonmed Imaging Florida LLC
49 mi
Diagnostic Radiology
10151 ENTERPRISE CTR STE 109
Boynton Beach, FL 33437
  • Reassigned Medicare billing, Florida enrollment
  • 165 clinicians in this Medicare group
NPI 1194395038 (561) 600-3019
Nchmd Inc
103 mi
Hematology & Oncology
350 7TH ST. N
Naples, FL 34102
  • Reassigned Medicare billing, Florida enrollment
  • 808 clinicians in this Medicare group
NPI 1831120195 (239) 624-6400
Lee Health System Inc
117 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Cardiovascular Institute Of The South, LLC
695 mi
Cardiovascular Disease
225 DUNN ST
Houma, LA 70360
  • Reassigned Medicare billing, Louisiana enrollment
  • 162 clinicians in this Medicare group
NPI 1982689113 (985) 876-0300

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

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
194 services88 patients
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.
178 services71 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
153 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
108 services73 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
93 services91 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33137 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%128 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
74%42 patients3/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%281 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
80%164 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%39 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%150 patients3/55-star benchmark: 97%
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…
55%347 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
3%344 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%150 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%150 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 156 patients
0%156 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%150 patients
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

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

ONE MIAMI MEDICAL, LLC
Internal Medicine (Cardiovascular Disease)
4770 BISCAYNE BLVD STE 680
MIAMI, FL 33137
Miami-Dade County (786) 529-6172

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 Shaun Smithson's NPI number?

The NPI number for Shaun Smithson is 1073744520. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Shaun Smithson located?

Shaun Smithson practices at 4770 Biscayne Blvd Ste 680, Miami, FL 33137. The listed phone number is (786) 529-6172.

What is Shaun Smithson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Shaun Smithson enrolled in Medicare?

Yes. Shaun 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.

Which organizations bill Medicare for Shaun Smithson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Smithson reassigns Medicare benefits to 8 organizations: One Miami Medical, LLC (Miami, FL), South Florida International Cardiology Consultants Inc (Miami, FL), Mercy Ekg & Echo Readers, Inc (Miami, FL), Biscayne Echo Associates Inc (Aventura, FL), Simonmed Imaging Florida LLC (Boynton Beach, FL) and 3 more organizations, listed in the Medicare section above. 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 Shaun Smithson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Smithson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Shaun Smithson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shaun Smithson affiliated with any hospitals?

According to CMS data, Shaun Smithson is affiliated with Lee Memorial Hospital, Hca Florida Aventura Hospital, Gulf Coast Medical Center Lee Health, Cape Coral Hospital and Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Shaun Smithson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.