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DOUGLAS L SMITH MD
NPI 1245290543
Family Medicine in Verona, WI

Active since March 23, 2006PECOS Enrolled
100 N NINE MOUNDS ROAD, VERONA, WI 53593(608) 845-9531(608) 845-5954 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Dec 27, 2020 (2 updates tracked since 2020).

About Douglas L Smith Md NPPES

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

DOUGLAS L SMITH MD (NPI 1245290543) is an individual family medicine provider in Verona, Wisconsin, licensed in Wisconsin (23250) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245290543
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS L SMITHCredential: MD
Location Address100 N NINE MOUNDS ROADVerona, WI 53593
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 845-9531
Fax(608) 845-5954
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2020
✔ NPI 1245290543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 23250
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.
100 N NINE MOUNDS ROAD, Verona, WI 53593
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53593 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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
3 suppliers12 claims36 services$4.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$35.41 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 2

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

JILL L DAVIS MSSW
Social Worker (Clinical)
100 N NINE MOUNDS ROAD
VERONA, WI 53593
Dane County (608) 845-9531
SUSAN J CARSON MD
Family Medicine
100 N NINE MOUNDS ROAD
VERONA, WI 53593
Dane County (908) 845-9531

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1245290543. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Douglas Smith located?

Douglas Smith practices at 100 N Nine Mounds Road, Verona, WI 53593. The listed phone number is (608) 845-9531.

What is Douglas Smith's specialty?

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

Is Douglas Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.