1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Urology
  6. NPI Profile

DR. MATTHEW TERRENCE SMITH JR. M.D.
NPI 1205290277
Urology in Atlanta, GA

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
80 JESSE HILL JR DR SE FL 5, ATLANTA, GA 30303(404) 616-4466(404) 489-6510 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Apr 15, 2026, Nov 19, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Matthew Terrence Smith Jr. M.d. NPPES

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

DR. MATTHEW TERRENCE SMITH JR. M.D. (NPI 1205290277) is an individual urology provider in Atlanta, Georgia, licensed in Georgia (110433) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Boston University School Of Medicine (2016).

NPPES Registry Identity

NPI1205290277
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MATTHEW TERRENCE SMITH JR.Credential: M.D.
Location Address80 JESSE HILL JR DR SE FL 5Atlanta, GA 30303-3050
Mailing Address80 Jesse Hill Jr Dr Se Fl 5Atlanta, GA 30303-3050 · (404) 616-4466 · Fax (404) 489-6510
Phone(404) 616-4466
Fax(404) 489-6510
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1205290277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in GA · 110433✔ Licensed in NY · 310998✔ Licensed in IA · MD-55986✔ Licensed in OH · 35.150572✔ Licensed in MN · 81928✔ Licensed in TX · V0179
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
80 JESSE HILL JR DR SE FL 5, Atlanta, GA 30303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Terrence Smith Jr. 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 ID4880931971
PECOS Enrollment IDI20251125000391, I20260730001444, I20260804000823
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Matthew Smith reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Hospital Center
429 mi
Plastic Surgery
1 AMALIA DR
Buckhannon, WV 26201
  • Reassigned Medicare billing, West Virginia enrollment
  • 441 clinicians in this Medicare group
NPI 1235556887 (681) 342-3190
Physicians Referral Service
705 mi
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
NPI 1073574810 (713) 792-6161
Coney Island Medical Practice Plan, P.C.
742 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
The Iowa Clinic PC
747 mi
Family Medicine
5950 UNIVERSITY AVE, STE 151
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 318 clinicians in this Medicare group
NPI 1346233178 (515) 875-9100
Physician Affiliate Group Of New York PC
753 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
St. Luke's Hospital Of Duluth
981 mi
Family Medicine
109 N 28TH ST E
Superior, WI 54880
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
NPI 1528010667 (715) 395-3900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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's NPI number?

The NPI number for Matthew Smith is 1205290277. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Matthew Smith located?

Matthew Smith practices at 80 Jesse Hill Jr Dr SE Fl 5, Atlanta, GA 30303. The listed phone number is (404) 616-4466.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Matthew Smith enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Smith reassigns Medicare benefits to 6 organizations: United Hospital Center (Buckhannon, WV), Physicians Referral Service (Houston, TX), Coney Island Medical Practice Plan, P.C. (Brooklyn, NY), The Iowa Clinic PC (West Des Moines, IA), Physician Affiliate Group Of New York PC (New York, NY) and 1 more organization, listed in the Medicare section above. Each 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 Matthew Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Matthew 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 Matthew Smith affiliated with any hospitals?

According to CMS data, Matthew Smith is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Smith was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.