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DR. DAVID J SMITH DO
NPI 1174597439
Emergency Medicine in Milton, GA

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
13081 HIGHWAY 9 N, MILTON, GA 30004(770) 521-7790(770) 521-6609 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David J Smith Do NPPES

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

DR. DAVID J SMITH DO (NPI 1174597439) is an individual emergency medicine provider in Milton, Georgia, licensed in Georgia (033707) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1988).

NPPES Registry Identity

NPI1174597439
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAVID J SMITHCredential: DO
Location Address13081 HIGHWAY 9 NMilton, GA 30004-5150
Mailing Address13081 Highway 9 NMilton, GA 30004-5150 · (770) 521-7790 · Fax (770) 521-6609
Phone(770) 521-7790
Fax(770) 521-6609
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1988
Enumeration DateFebruary 14, 2006
Last NPPES UpdateDecember 1, 2010
✔ NPI 1174597439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 033707
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
13081 HIGHWAY 9 N, Milton, GA 30004
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Other Identifiers 10

Medicare PIN93BBGTLGA
Other003406GA · Bcbs
Medicare ID-Type Unspecified93BBGTLGA
Medicaid000440932EGA
Other10650GA · Kaiser
Medicare PINP00095948GA
Other333416GA · Wellcare Of Georgia
Other10044965GA · Amerigroup
Other002406GA · Bcbs
Medicare UPINE64733GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. David J Smith Do 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 ID4880589621
PECOS Enrollment IDI20040220000772
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 10

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.
99 services94 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services28 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.
54 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
32 services31 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30004 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
3%173 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
14%118 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
13%174 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%193 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
7%88 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

KATRINA ELIZABETH GRABLIN P.A-C
Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
SAVANNA ESTES ADAMS NP
Nurse Practitioner (Family)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
MR. EDMUND EARL SMITH PHYSICIAN ASSISTANT
Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
DIANA LEE PA-C
Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
SAVANNAH GRAHAM PA
Physician Assistant (Medical)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
BETHANY BEND URGENT CARE, P.C.
Clinic/Center (Urgent Care)
13081 HIGHWAY 9 N
MILTON, GA 30004
Fulton County (770) 521-6690
SAPHIRA JUSTE FNP-C
Nurse Practitioner (Family)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690
WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Fulton County (770) 521-6690

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 David Smith's NPI number?

The NPI number for David Smith is 1174597439. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is David Smith located?

David Smith practices at 13081 Highway 9 N, Milton, GA 30004. The listed phone number is (770) 521-7790.

What is David Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Smith enrolled in Medicare?

Yes. David 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 David Smith accept?

Health plans from Alliant Health Plans, Inc. list David 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 David Smith affiliated with any hospitals?

According to CMS data, David Smith is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for David Smith was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.