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DIANA MARIE DECOTIS SMITH M.D.
NPI 1104055599
Obstetrics & Gynecology in Fort Walton Beach, FL

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
928 MAR WALT DR STE 201, FORT WALTON BEACH, FL 32547(850) 315-8360(503) 154-2628 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2022, Apr 10, 2018 (2 updates tracked since 2018).

About Diana Marie Decotis Smith M.d. NPPES

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

DIANA MARIE DECOTIS SMITH M.D. (NPI 1104055599) is an individual obstetrics & gynecology provider in Fort Walton Beach, Florida, licensed in Florida (ME11588) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104055599
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDIANA MARIE DECOTIS SMITHCredential: M.D.
Location Address928 MAR WALT DR STE 201Fort Walton Beach, FL 32547-6706
Mailing Address928 Mar Walt Dr Ste 201Fort Walton Beach, FL 32547-6706 · (850) 315-8360 · Fax (503) 154-2628
Phone(850) 315-8360
Fax(503) 154-2628
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 7, 2009
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1104055599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME11588
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.
928 MAR WALT DR STE 201, Fort Walton Beach, FL 32547
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Other Identifiers 1

Medicaid009296600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Diana Marie Decotis Smith 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 ID1557500204
PECOS Enrollment IDI20130918000047
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

3

Medicare enrollment records show Diana Decotis Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Absolute Obgyn LLC
32 mi
Obstetrics & Gynecology
1118 GULF BREEZE PKWY STE 201
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1801301122 (850) 916-1872
Orlando Health Medical Group Inc
343 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Florida Hospital Medical Group Inc
343 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Diana Decotis Smith's NPI number?

The NPI number for Diana Decotis Smith is 1104055599. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Diana Decotis Smith located?

Diana Decotis Smith practices at 928 Mar Walt Dr Ste 201, Fort Walton Beach, FL 32547. The listed phone number is (850) 315-8360.

What is Diana Decotis Smith's specialty?

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

Is Diana Decotis Smith enrolled in Medicare?

Yes. Diana Decotis 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.

Which organizations bill Medicare for Diana Decotis Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Decotis Smith reassigns Medicare benefits to 3 organizations: Absolute Obgyn LLC (Gulf Breeze, FL), Orlando Health Medical Group Inc (Orlando, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Diana Decotis Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Decotis Smith accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Diana Decotis 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 Diana Decotis Smith affiliated with any hospitals?

According to CMS data, Diana Decotis Smith is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Diana Decotis Smith was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.