DR. JAMES RILEY SMITH M.D.
NPI 1215043062
Internal Medicine in Tucson, AZ

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
1669 W INA RD STE 141, TUCSON, AZ 85704(520) 795-6183 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2025, Oct 20, 2022, Jul 31, 2018 (3 updates tracked since 2018).

About Dr. James Riley Smith M.d. NPPES

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

DR. JAMES RILEY SMITH M.D. (NPI 1215043062) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (49601) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Hahnemann University College Of Medicine (1985).

NPPES Registry Identity

NPI1215043062
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES RILEY SMITHCredential: M.D.
Location Address1669 W INA RD STE 141Tucson, AZ 85704-1981
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1985
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1215043062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 49601
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1669 W INA RD STE 141, Tucson, AZ 85704

Secondary Practice Locations 2

Location 16211 N La Cholla BlvdTucson, AZ 85741-3528 · Phone (520) 575-0900 · Fax (520) 575-0483
Location 24730 E Grant RdTucson, AZ 85712-2703 · Phone (520) 290-0300

Other Identifiers 1

Medicaid963129AZ

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

Dr. James Riley 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 ID2961658810
PECOS Enrollment IDI20150109001989
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 3

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.
88 services46 patients
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.
62 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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…
100%24 patients5/55-star benchmark: 100%
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 3

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

Internal Medicine
1669 W INA RD STE 141
TUCSON, AZ 85704
Nurse Practitioner (Pediatrics)
1669 W INA RD STE 141
TUCSON, AZ 85704
Nurse Practitioner (Family)
1669 W INA RD STE 141
TUCSON, AZ 85704

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 James Smith's NPI number?

The NPI number for James Smith is 1215043062. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is James Smith located?

James Smith practices at 1669 W Ina Rd Ste 141, Tucson, AZ 85704. The listed phone number is (520) 795-6183.

What is James Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Smith enrolled in Medicare?

Yes. James 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 James Smith accept?

Health plans from Blue Cross Blue Shield of Arizona list James 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.

When was this NPI record last updated?

The NPPES record for James Smith was last updated on April 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.