JAY S SMITHERMAN MD
NPI 1225028053
Internal Medicine in Lacey, WA

Q: What is Jay Smitherman's NPI number?

The NPI number for Jay Smitherman is 1225028053. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Jay Smitherman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jay Smitherman was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 24, 2005PECOS EnrolledAccepts Medicare Assignment

2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE IM, LACEY, WA 98516(360) 923-4600(360) 923-4663 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jay S Smitherman Md NPPES

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

JAY S SMITHERMAN MD (NPI 1225028053) is an individual internal medicine provider in Lacey, Washington, licensed in Washington (MD60003286) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Baylor College Of Medicine (2002).

NPPES Registry Identity

NPI1225028053

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAY S SMITHERMANCredential: MD

Location Address2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE IMLacey, WA 98516-3138

Mailing AddressPo Box 3360Portland, OR 97208-3360 · (360) 486-6508

Phone(360) 923-4600

Fax(360) 923-4663

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2002

Enumeration DateOctober 24, 2005

Last NPPES UpdateMarch 24, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1225028053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD60003286

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.

2555 MARVIN RD NE, Lacey, WA 98516

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Jay S Smitherman Md 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 ID7911950019

PECOS Enrollment IDI20080716000850

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 2

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.

50 services50 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.

44 services39 patients

Hospital Affiliations CMS Care Compare

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98516 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

CARRIE WELTY ARNP

Nurse Practitioner (Family)

2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE FM
LACEY, WA 98516

Thurston County (360) 413-4200

IOAN VLAD NICOLESCU MD

Internal Medicine