DR. STEPHEN SMITH MD
NPI 1104875814
Internal Medicine - Infectious Disease in Roseland, NJ

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
93.35/100
CMS Quality Rating
189 EAGLE ROCK AVE, ROSELAND, NJ 07068(973) 980-0195(973) 774-1920 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2022, Dec 30, 2018 (2 updates tracked since 2018).

About Dr. Stephen Smith Md NPPES

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

DR. STEPHEN SMITH MD (NPI 1104875814) is an individual infectious disease provider in Roseland, New Jersey, licensed in New Jersey (MA060236) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Yale University School Of Medicine (1989).

NPPES Registry Identity

NPI1104875814
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. STEPHEN SMITHCredential: MD
Location Address189 EAGLE ROCK AVERoseland, NJ 07068-1347
Mailing AddressPo Box 54Roseland, NJ 07068-0054 · (973) 980-0195 · Fax (973) 774-1920
Fax(973) 774-1920
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1989
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1104875814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in NJ · MA060236✔ Licensed in NJ · MA06023600
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
189 EAGLE ROCK AVE, Roseland, NJ 07068

Other Identifiers 1

Medicaid8420301NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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. Stephen 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 ID2163417858
PECOS Enrollment IDI20050621000307
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

2

Medicare enrollment records show Stephen Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
189 EAGLE ROCK AVE
Roseland, NJ 07068
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
Voluntary or Charitable
310 CENTRAL AVE, SUITE 307- TIMESHARE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group

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 3

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.

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.
636 services169 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
104 services91 patients

Hospital Affiliations CMS Care Compare 2

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07068 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.09
Improvement Activities40
Cost49.7

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Medical)
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Physician Assistant
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Internal Medicine (Infectious Disease)
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Nurse Practitioner (Gerontology)
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Nurse Practitioner (Primary Care)
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Physician Assistant
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Internal Medicine
189 EAGLE ROCK AVE
ROSELAND, NJ 07068
Internal Medicine (Infectious Disease)
189 EAGLE ROCK AVE
ROSELAND, NJ 07068

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 Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1104875814. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Stephen Smith located?

Stephen Smith practices at 189 Eagle Rock Ave, Roseland, NJ 07068. The listed phone number is (973) 980-0195.

What is Stephen Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Stephen Smith enrolled in Medicare?

Yes. Stephen 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 Stephen Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Smith reassigns Medicare benefits to 2 organizations: Infectious Disease Specialists LLC (Roseland, NJ) and Smith Center For Infectious Diseases And Urban Health, P.A. (East Orange, NJ). 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 Stephen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Smith accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Stephen 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 Stephen Smith affiliated with any hospitals?

According to CMS data, Stephen Smith is affiliated with Cooperman Barnabas Medical Center and Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Smith was last updated on January 28, 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.