MATTHEW SMITH MD PC
NPI 1154072379
Family Medicine in Waterloo, IA
About Matthew Smith Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW SMITH MD PC (NPI 1154072379) is a healthcare organization registered as a family medicine in Waterloo, Iowa and active in the NPI registry since January 2022. The organization lists Matthew Smith, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Smith Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Matthew Smith MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Matthew Smith MD PC's NPI number?
The NPI number for Matthew Smith MD PC is 1154072379. It was assigned to this organization in the NPPES registry on January 11, 2022.
Where is Matthew Smith MD PC located?
Matthew Smith MD PC is located at 1753 W Ridgeway Ave Ste 103A, Waterloo, IA 50701. The listed phone number is (319) 235-3568.
What is Matthew Smith MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Smith MD PC enrolled in Medicare?
Yes. Matthew Smith MD PC is registered in the Medicare PECOS enrollment system.
When is Matthew Smith MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Matthew Smith MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Matthew Smith MD PC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Smith MD PC was last updated on January 11, 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.
# Matthew Smith Md Pc · NPI 1154072379
Family Medicine organization in Waterloo, Iowa. Organization record, active in the CMS NPPES registry since January 11, 2022.
## Identity
- **NPI:** 1154072379 (Entity type: Organization)
- **Enumerated:** January 11, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Smith, MD
## Practice location
- **Address:** 1753 W RIDGEWAY AVE STE 103A, Waterloo, IA 50701-4521
- **Phone:** (319) 235-3568 · **Fax:** (319) 235-5013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Iowa, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154072379) · Data from the CMS NPPES public registry.