DR. TIMOTHY TED SMITH D.O.
NPI 1225097496
Family Medicine in Clinton, NC

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.08/100
CMS Quality Rating
522 BEAMAN ST, CLINTON, NC 28328(910) 596-0093(910) 596-2287 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy Ted Smith D.o. NPPES

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

DR. TIMOTHY TED SMITH D.O. (NPI 1225097496) is an individual family medicine provider in Clinton, North Carolina, licensed in North Carolina (9401340) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1225097496
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY TED SMITHCredential: D.O.
Location Address522 BEAMAN STClinton, NC 28328-2602
Mailing Address522 Beaman StClinton, NC 28328-2602 · (910) 596-0093 · Fax (910) 596-2287
Fax(910) 596-2287
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1993
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225097496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9401340
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.
522 BEAMAN ST, Clinton, NC 28328

Accepted 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. Timothy Ted Smith D.o. 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 ID3375515919
PECOS Enrollment IDI20040812000724
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

7

Medicare enrollment records show Timothy Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
340 B NORTH EAST BLVD
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
Public Health, State or Local
360 COUNTY COMPLEX RD
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
Emergency Medicine
210 MEDICAL PAVILION DR
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 97 clinicians in this Medicare group
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Emergency Medicine
300 W 27TH ST
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
500 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group

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 7

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 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.
194 services78 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
159 services154 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
140 services136 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
97 services11 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients
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.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Sampson Regional Medical Center

Acute Care Hospitals · Clinton, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340024
Location607 Beaman StClinton, NC 28328 · Sampson County
Emergency services Birthing friendly

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340120
Location401 N Main StKenansville, NC 28349 · Duplin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28328 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

81.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.26
Improvement Activities40

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.

Nurse Practitioner (Family)
522 BEAMAN ST
CLINTON, NC 28328
Nurse Practitioner (Family)
522 BEAMAN ST
CLINTON, NC 28328
Family Medicine
522 BEAMAN ST
CLINTON, NC 28328

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 Timothy Smith's NPI number?

The NPI number for Timothy Smith is 1225097496. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Timothy Smith located?

Timothy Smith practices at 522 Beaman St, Clinton, NC 28328. The listed phone number is (910) 596-0093.

What is Timothy Smith's specialty?

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

Is Timothy Smith enrolled in Medicare?

Yes. Timothy 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 Timothy Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Smith reassigns Medicare benefits to 7 organizations: Quick Med Inc (Clinton, NC), County Of Sampson (Clinton, NC), The Carolinas Emergency Group, PLLC (Dunn, NC), Hoke Emergency Group, PC (Raeford, NC), Vidant Medical Group LLC (Kinston, NC) and 2 more organizations, 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 Timothy Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 3 other insurers list Timothy 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 Timothy Smith affiliated with any hospitals?

According to CMS data, Timothy Smith is affiliated with Sampson Regional Medical Center and Vidant Duplin Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.