DR. PETER JOSEPH SMITH DDS
NPI 1194886374
Dentist - General Practice in St Charles, IL

Q: What is Peter Smith's NPI number?

The NPI number for Peter Smith is 1194886374. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Peter Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Peter Smith enrolled in Medicare?

No. Peter Smith has opted out of Medicare through June 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 12, 2006Opted out of Medicare · through Jun 19, 2027

1100 W MAIN ST, SUITE B, ST CHARLES, IL 60174(630) 377-7760(630) 377-7785 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Peter Joseph Smith Dds NPPES

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

DR. PETER JOSEPH SMITH DDS (NPI 1194886374) is an individual general practice provider in St Charles, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through June 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194886374

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER JOSEPH SMITHCredential: DDS

Location Address1100 W MAIN ST, SUITE BSt Charles, IL 60174-1768

Mailing Address61 St. Germain PlaceSt. Charles, IL 60175

Phone(630) 377-7760

Fax(630) 377-7785

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194886374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1100 W MAIN ST, St Charles, IL 60174

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Peter Joseph Smith Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 19, 2017 through June 19, 2027.

Opt-Out Effective DateJune 19, 2017

Opt-Out In Effect ThroughJune 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60174 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES

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

DR. STEVEN WAYNE SMUNT D.D.S.

Dentist (General Practice)

1100 W MAIN ST
SAINT CHARLES, IL 60174

Kane County (630) 377-5395

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 Peter Smith's NPI number?

The NPI number for Peter Smith is 1194886374. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Peter Smith located?

Peter Smith practices at 1100 W Main St Suite B, St Charles, IL 60174. The listed phone number is (630) 377-7760.

What is Peter Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Smith enrolled in Medicare?

No. Peter Smith has opted out of Medicare through June 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.