DR. BENJAMIN PAUL SMITH M.D.
NPI 1194906768
Internal Medicine - Pulmonary Disease in Lewiston, ME

Q: What is Benjamin Smith's NPI number?

The NPI number for Benjamin Smith is 1194906768. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Q: What is Benjamin Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Smith was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 23, 2007PECOS EnrolledAccepts Medicare Assignment

83.95/100

CMS Quality Rating

300 MAIN ST, LEWISTON, ME 04240(207) 795-7575(207) 795-7133 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Benjamin Paul Smith M.d. NPPES

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

DR. BENJAMIN PAUL SMITH M.D. (NPI 1194906768) is an individual pulmonary disease provider in Lewiston, Maine, licensed in Maine (MD18897) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194906768

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. BENJAMIN PAUL SMITHCredential: M.D.

Location Address300 MAIN STLewiston, ME 04240-7027

Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-7575 · Fax (207) 795-7133

Phone(207) 795-7575

Fax(207) 795-7133

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 23, 2007

Last NPPES UpdateOctober 21, 2015

✔ NPI 1194906768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in ME · MD18897

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD18897 (ME)

300 MAIN ST, Lewiston, ME 04240

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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. Benjamin Paul Smith M.d. 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 ID749451722

PECOS Enrollment IDI20110923000017

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 5

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

121 services51 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.

84 services42 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.

68 services38 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

44 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201310

Location10 Hospital DriveBridgton, ME 04009 · Cumberland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

83.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.69

Promoting Interoperability

Improvement Activities

Cost

70.81

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers11 claims11 services$18.32 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims68 services$2.18 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$842.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANGELA WOOD CRNA

Nurse Anesthetist, Certified Registered

300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240

Androscoggin County (207) 795-0111

DANA MCCOY PT

Physical Therapist