BRIAN S SMITH MD
NPI 1093862898
Internal Medicine - Gastroenterology in Winston Salem, NC

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
87.61/100
CMS Quality Rating
1901 S HAWTHORNE RD, SUITE 310, WINSTON SALEM, NC 27103(336) 448-2427(336) 765-2869 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2020, Aug 1, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Brian S Smith Md NPPES

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

BRIAN S SMITH MD (NPI 1093862898) is an individual gastroenterology provider in Winston Salem, North Carolina, licensed in North Carolina (2008-00238) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1093862898
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN S SMITHCredential: MD
Location Address1901 S HAWTHORNE RD, SUITE 310Winston Salem, NC 27103
Mailing Address1830 S Hawthorne RdWinston Salem, NC 27103-4014 · (336) 448-2427 · Fax (336) 765-2869
Fax(336) 765-2869
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2001
Enumeration DateJanuary 4, 2007
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
NPI 1093862898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 2008-00238
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1901 S HAWTHORNE RD, Winston Salem, NC 27103

Secondary Practice Locations 7

Location 1875 Bethesda RdWinston Salem, NC 27103-3026 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 21901 S Hawthorne Rd Ste 308Winston Salem, NC 27103-3914 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 37126 Village Medical CirClemmons, NC 27012-8004 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 4167 Moore RdKing, NC 27021-8770 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 5402 W King StKing, NC 27021-9170 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 61830 S Hawthorne RdWinston Salem, NC 27103-4014 · Phone (336) 448-2427 · Fax (336) 765-2869
Location 7445 Pineview Dr Ste 200BKernersville, NC 27284-3818 · Phone (336) 448-2427 · Fax (336) 765-2869

Other Identifiers 1

Medicaid5910788NC

Accepted 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

Brian S 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 ID4880764539
PECOS Enrollment IDI20080606000505
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 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.
140 services114 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
81 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
59 services59 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.
58 services54 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

87.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.26
Promoting Interoperability100
Improvement Activities40
Cost79.43

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
90%136 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%176 patients3/55-star benchmark: 100%
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…
50%221 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
41%86 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
5%104 patients1/55-star benchmark: 100%
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 16

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

Clinic/Center (Ambulatory Surgical)
1901 S HAWTHORNE RD, SUITE 308
WINSTON-SALEM, NC 27103
Anesthesiology
1901 S HAWTHORNE RD, SUITE 308
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
1901 S HAWTHORNE RD, SUITE 310
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
1901 S HAWTHORNE RD, SUITE 310
WINSTON SALEM, NC 27103
Specialist/Technologist (Athletic Trainer)
1901 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Obstetrics & Gynecology (Gynecology)
1901 S HAWTHORNE RD, STE 320
WINSTON SALEM, NC 27103
Internal Medicine (Infectious Disease)
1901 S HAWTHORNE RD, SUITE 220
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
1901 S HAWTHORNE RD, SUITE 310
WINSTON SALEM, NC 27103

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 Brian Smith's NPI number?

The NPI number for Brian Smith is 1093862898. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Brian Smith located?

Brian Smith practices at 1901 S Hawthorne Rd Suite 310, Winston Salem, NC 27103. The listed phone number is (336) 448-2427.

What is Brian Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Smith enrolled in Medicare?

Yes. Brian 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.

What insurance does Brian Smith accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Brian Smith 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 Brian Smith affiliated with any hospitals?

According to CMS data, Brian Smith is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Smith was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.