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LARA ENID SMITH MD
NPI 1215386800
Family Medicine in Boston, MA

Active since June 06, 2016PECOS Enrolled
109 STATE ST, 5TH FL, BOSTON, MA 02109(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2026, Oct 5, 2023, Sep 11, 2019 (3 updates tracked since 2019).

About Lara Enid Smith Md NPPES

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

LARA ENID SMITH MD (NPI 1215386800) is an individual family medicine provider in Boston, Massachusetts, licensed in Illinois (036167275) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215386800
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLARA ENID SMITHCredential: MD
Location Address109 STATE ST, 5TH FLBoston, MA 02109-2906
Mailing Address109 State St, 5th FlBoston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Phone(617) 505-1520
Fax(617) 928-8401
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 6, 2016
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1215386800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036167275✔ Licensed in GA · 78755✔ Licensed in FL · TPME4914
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.
109 STATE ST, Boston, MA 02109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Enid Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981982824
PECOS Enrollment IDI20240802003237
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

4

Medicare enrollment records show Lara Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Form Health Associates Ma, P.C.
Same address
Endocrinology, Diabetes & Metabolism
109 STATE STREET, 5TH FL
Boston, MA 02109
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1386260594 (617) 505-1520
Anmed Health
815 mi
Family Medicine
16 ROBERTS BLVD
Williamston, SC 29697
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1164746392 (South Carolina)
  • 166 clinicians in this Medicare group
NPI 1124065057 (864) 847-7323
Deaconess Illinois Clinic, Inc
978 mi
Family Medicine
303 S COMMERCIAL ST
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1285350504 (618) 918-6060
Doctor On Demand Professionals P C
2,700 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Washington enrollment
  • 12 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Lara Smith's NPI number?

The NPI number for Lara Smith is 1215386800. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Lara Smith located?

Lara Smith practices at 109 State St 5th Fl, Boston, MA 02109. The listed phone number is (617) 505-1520.

What is Lara Smith's specialty?

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

Is Lara Smith enrolled in Medicare?

Yes. Lara Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lara Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Smith reassigns Medicare benefits to 4 organizations: Form Health Associates Ma, P.C. (Boston, MA), Anmed Health (Williamston, SC), Deaconess Illinois Clinic, Inc (Harrisburg, IL) and Doctor On Demand Professionals P C (San Francisco, CA). 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 Lara Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lara Smith was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.