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DR. CLAYTON MICHAEL SMITH M.D.
NPI 1235371840
Internal Medicine in Louisville, KY

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202(502) 813-6500(502) 589-5093 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Clayton Michael Smith M.d. NPPES

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

DR. CLAYTON MICHAEL SMITH M.D. (NPI 1235371840) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (45420) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2009).

NPPES Registry Identity

NPI1235371840
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CLAYTON MICHAEL SMITHCredential: M.D.
Location Address401 E CHESTNUT ST, STE #310Louisville, KY 40202-5700
Mailing Address401 E Chestnut St, Ste #310Louisville, KY 40202-5700 · (502) 813-6500
Phone(502) 813-6500
Fax(502) 589-5093
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateJuly 18, 2014
✔ NPI 1235371840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 45420
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.
401 E CHESTNUT ST, Louisville, KY 40202
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Other Identifiers 5

Other000000674798KY · Anthem - Nicc
Other136454KY · Siho - Nicc
Medicaid201178490IN
Medicaid7100140140KY
Medicare PINP400023341KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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. Clayton Michael 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 ID3476678046
PECOS Enrollment IDI20100920000635
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

2

Medicare enrollment records show Clayton Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802
Community Medical Associates, Inc.
2.0 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164

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 11

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.
116 services91 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.
60 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services29 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
23 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims54 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims14 services$0.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHRISTOPHER R. SHAFER M.D.
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 588-4800
KELLI M. BULLARD DUNN MD
Colon & Rectal Surgery
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
JASON WAYNE SMITH MD
Surgery (Surgical Critical Care)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
SRI PRAKASH L MOKSHAGUNDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4600
DR. VICTORIA SKELTON YUNKER MD.
Psychiatry & Neurology (Psychiatry)
401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202
Jefferson County (502) 588-4450
THERESA BRADSHAW BS
Occupational Therapist (Neurorehabilitation)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 589-0802
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Surgery (Trauma Surgery)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 589-0802

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 Clayton Smith's NPI number?

The NPI number for Clayton Smith is 1235371840. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Clayton Smith located?

Clayton Smith practices at 401 E Chestnut St Ste #310, Louisville, KY 40202. The listed phone number is (502) 813-6500.

What is Clayton Smith's specialty?

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

Is Clayton Smith enrolled in Medicare?

Yes. Clayton 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 Clayton Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Smith reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Community Medical Associates, Inc. (Louisville, KY). 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 Clayton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Clayton 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 Clayton Smith affiliated with any hospitals?

According to CMS data, Clayton Smith is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Smith was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.