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DR. SHANE DAVID SMITH M.D
NPI 1124476676
Dermatology in Glen Burnie, MD

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
810 LANDMARK DR STE 217-219, GLEN BURNIE, MD 21061(443) 351-3376 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, Jul 8, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Shane David Smith M.d NPPES

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

DR. SHANE DAVID SMITH M.D (NPI 1124476676) is an individual dermatology provider in Glen Burnie, Maryland, licensed in Maryland (D0096028) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124476676
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. SHANE DAVID SMITHCredential: M.D
Location Address810 LANDMARK DR STE 217-219Glen Burnie, MD 21061-4987
Mailing Address1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Phone(443) 351-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 25, 2016
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1124476676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D0096028
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
810 LANDMARK DR STE 217-219, Glen Burnie, MD 21061
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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. Shane David 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 ID5799079240
PECOS Enrollment IDI20250508002474
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ANNE ARUNDEL DERMATOLOGY, PA
Dermatology
810 LANDMARK DR STE 217-219
GLEN BURNIE, MD 21061
Anne Arundel County (410) 766-0111
NAJIYAH N. KAZI M.D.
Pathology (Dermatopathology)
810 LANDMARK DR STE 217-219
GLEN BURNIE, MD 21061
Anne Arundel County (410) 766-0111

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 Shane Smith's NPI number?

The NPI number for Shane Smith is 1124476676. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Shane Smith located?

Shane Smith practices at 810 Landmark Dr Ste 217-219, Glen Burnie, MD 21061. The listed phone number is (443) 351-3376.

What is Shane Smith's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shane Smith enrolled in Medicare?

Yes. Shane 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.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.