RICHARD A. SMITS MD
NPI 1184915845
Family Medicine in Concord, NC

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
270 COPPERFIELD BLVD NE, STE 102, CONCORD, NC 28025(704) 786-6521 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 58 more (61 updates tracked since 2016).

About Richard A. Smits Md NPPES

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

RICHARD A. SMITS MD (NPI 1184915845) is an individual family medicine provider in Concord, North Carolina, licensed in North Carolina (2014-01421) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1184915845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD A. SMITSCredential: MD
Location Address270 COPPERFIELD BLVD NE, STE 102Concord, NC 28025-2441
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 28, 2011
Last NPPES UpdateJuly 15, 202461 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
NPI 1184915845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2014-01421
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.

270 COPPERFIELD BLVD NE, Concord, NC 28025

Secondary Practice Locations 4

Location 1123 Professional Park DrLocust, NC 28097-7712 · Phone (704) 403-6760
Location 28560 Cook StMount Pleasant, NC 28124-7686 · Phone (704) 436-6521
Location 34315 Physicians Blvd, STE 101Harrisburg, NC 28075-7430 · Phone (704) 455-6521
Location 45727 Prosperity Crossing Dr, Ste 2200Charlotte, NC 28269-2206 · Phone (704) 863-9830

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

Richard A. Smits Md 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 ID3971745845
PECOS Enrollment IDI20140916002378
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 6

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.
76 services50 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.
70 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services19 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.
18 services17 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.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
270 COPPERFIELD BLVD NE, STE 102
CONCORD, NC 28025
Psychiatry & Neurology (Neurology)
270 COPPERFIELD BLVD NE, SUITE 201
CONCORD, NC 28025
Pharmacist
270 COPPERFIELD BLVD NE, SUITE 101
CONCORD, NC 28025
Internal Medicine
270 COPPERFIELD BLVD NE, STE 102
CONCORD, NC 28025
Psychologist
270 COPPERFIELD BLVD NE, STE 102
CONCORD, NC 28025
Pharmacist
270 COPPERFIELD BLVD NE, SUITE 101
CONCORD, NC 28025
Pharmacist (Pharmacotherapy)
270 COPPERFIELD BLVD NE, SUITE 202
CONCORD, NC 28025
Pharmacist
270 COPPERFIELD BLVD NE, SUITE 101
CONCORD, NC 28025

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 Richard Smits's NPI number?

The NPI number for Richard Smits is 1184915845. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Richard Smits located?

Richard Smits practices at 270 Copperfield Blvd NE Ste 102, Concord, NC 28025. The listed phone number is (704) 786-6521.

What is Richard Smits's specialty?

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

Is Richard Smits enrolled in Medicare?

Yes. Richard Smits 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 Richard Smits accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Richard Smits 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 Richard Smits affiliated with any hospitals?

According to CMS data, Richard Smits is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Richard Smits was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.