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DR. DOUG HENRY SMATHERS M.D.
NPI 1083670004
Family Medicine in Puyallup, WA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
16515 MERIDIAN E, SUITE 104A, PUYALLUP, WA 98375(253) 697-3030(253) 697-8190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Doug Henry Smathers M.d. NPPES

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

DR. DOUG HENRY SMATHERS M.D. (NPI 1083670004) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (MD00039786) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and is a graduate of Meharry Medical College School Of Medicine (1998).

NPPES Registry Identity

NPI1083670004
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUG HENRY SMATHERSCredential: M.D.
Location Address16515 MERIDIAN E, SUITE 104APuyallup, WA 98375-6251
Mailing Address16515 Meridian E, #104aPuyallup, WA 98375 · (253) 697-3030 · Fax (253) 697-8190
Phone(253) 697-3030
Fax(253) 697-8190
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1998
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083670004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00039786
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16515 MERIDIAN E, Puyallup, WA 98375
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Other Identifiers 3

Medicaid8324550WA
Medicare ID-Type Unspecified8858993WA
Medicare UPINH45625WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Doug Henry Smathers 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 ID1153338629
PECOS Enrollment IDI20060309000022
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 9

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.
312 services154 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
38 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98375 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims70 services$6.13 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims560 services$0.78 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$3.23 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims353 services$2.64 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,257 services$0.22 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 20

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

MICHAEL MANNING
Physical Therapist
16515 MERIDIAN E, STE 202B
PUYALLUP, WA 98375
Pierce County (253) 840-5311
JAMIE M NELSON
Massage Therapist
16515 MERIDIAN E
PUYALLUP, WA 98375
Pierce County (253) 381-1834
KENZIE D AUSTIN-WILLIAMS L.M.P.
Community Health Worker
16515 MERIDIAN E
PUYALLUP, WA 98375
Pierce County (253) 209-8535
GOOD NIGHT MEDICAL OF WASHINGTON, INC.
Durable Medical Equipment & Medical Supplies
16515 MERIDIAN E, SUITE 203B
PUYALLUP, WA 98375
Pierce County (253) 517-3680
RYAN SUMMERS
Physical Therapist
16515 MERIDIAN E, SUITE 202B
PUYALLUP, WA 98375
Pierce County (253) 840-5511
PAUL FRANK GROSCHEL PT
Physical Therapist
16515 MERIDIAN E, STE 202B
PUYALLUP, WA 98375
Pierce County (253) 840-5511
MICHELLE MARGARET HANWAY THURMAN MD
Family Medicine
16515 MERIDIAN E, SUITE 104A
PUYALLUP, WA 98375
Pierce County (253) 697-3030
ELIZABETH REAGH ROGERS PT
Physical Therapist
16515 MERIDIAN E, STE 202B
PUYALLUP, WA 98375
Pierce County (253) 840-5511

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 Doug Smathers's NPI number?

The NPI number for Doug Smathers is 1083670004. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Doug Smathers located?

Doug Smathers practices at 16515 Meridian E Suite 104A, Puyallup, WA 98375. The listed phone number is (253) 697-3030.

What is Doug Smathers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Doug Smathers enrolled in Medicare?

Yes. Doug Smathers 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.

What insurance does Doug Smathers accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Doug Smathers 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 Doug Smathers affiliated with any hospitals?

According to CMS data, Doug Smathers is affiliated with Multicare Good Samaritan Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Doug Smathers 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.