DR. ALLISON MARIE SMITH PH.D.
NPI 1134566904
Psychologist - Clinical in Salt Lake City, UT

Active since June 03, 2013PECOS Enrolled
99.47/100
CMS Quality Rating
504 E 800 S APT 1B, SALT LAKE CITY, UT 84102(815) 505-3002 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Allison Marie Smith Ph.d. NPPES

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

DR. ALLISON MARIE SMITH PH.D. (NPI 1134566904) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (81680132501) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134566904
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALLISON MARIE SMITHCredential: PH.D.
Location Address504 E 800 S APT 1BSalt Lake City, UT 84102-3361
Mailing Address504 E 800 S Apt 1bSalt Lake City, UT 84102-3361 · (815) 505-3002
Sole ProprietorYes
Enumeration DateJune 3, 2013
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1134566904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 81680132501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
504 E 800 S APT 1B, Salt Lake City, UT 84102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Allison Marie Smith Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Psychiatry
525 E 100 S, SUITE 500
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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 Allison Smith's NPI number?

The NPI number for Allison Smith is 1134566904. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Allison Smith located?

Allison Smith practices at 504 E 800 S Apt 1B, Salt Lake City, UT 84102. The listed phone number is (815) 505-3002.

What is Allison Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Allison Smith enrolled in Medicare?

Yes. Allison Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Allison Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Smith reassigns Medicare benefits to 2 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT) and University Of Utah Adult Services (Salt Lake City, UT). 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 Allison Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Smith accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Allison 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.

When was this NPI record last updated?

The NPPES record for Allison Smith was last updated on November 17, 2021. 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.