ANDREA MARIE SMITH
NPI 1114388725
Family Medicine in Detroit, MI

Active since March 09, 2016PECOS EnrolledAccepts Medicare Assignment
7800 W OUTER DR, DETROIT, MI 48235(313) 543-6200 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Sep 16, 2019 (2 updates tracked since 2019).

About Andrea Marie Smith NPPES

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

ANDREA MARIE SMITH (NPI 1114388725) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (5101024910) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1114388725
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA MARIE SMITH
Location Address7800 W OUTER DRDetroit, MI 48235-3296
Mailing Address7800 W Outer DrDetroit, MI 48235-3296 · (313) 543-6200
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 9, 2016
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1114388725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101024910
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.

7800 W OUTER DR, Detroit, MI 48235

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

Andrea Marie Smith 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 ID7113219205
PECOS Enrollment IDI20190701000070
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 8

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.
89 services60 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.
58 services23 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.
34 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 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.
17 services11 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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
6 suppliers19 claims60 services$5.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims20 services$0.97 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.

Internal Medicine
7800 W OUTER DR, SUITE 230
DETROIT, MI 48235
Contractor
7800 W OUTER DR
DETROIT, MI 48235
Family Medicine
7800 W OUTER DR
DETROIT, MI 48235
Physical Therapist
7800 W OUTER DR
DETROIT, MI 48235
Case Manager/Care Coordinator
7800 W OUTER DR
DETROIT, MI 48235
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
7800 W OUTER DR, SUITE 190
DETROIT, MI 48235
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
7800 W OUTER DR, STE.240
DETROIT, MI 48235
Registered Nurse
7800 W OUTER DR
DETROIT, MI 48235

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 Andrea Smith's NPI number?

The NPI number for Andrea Smith is 1114388725. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Where is Andrea Smith located?

Andrea Smith practices at 7800 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 543-6200.

What is Andrea Smith's specialty?

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

Is Andrea Smith enrolled in Medicare?

Yes. Andrea 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 Andrea Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Andrea 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 Andrea Smith affiliated with any hospitals?

According to CMS data, Andrea Smith is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Smith was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.