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DR. COLLEEN SMITH MD
NPI 1255330965
Family Medicine in Pataskala, OH

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1 HEALTHY PL, SUITE 101, PATASKALA, OH 43062(220) 564-1900(220) 564-1901 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2023, Feb 20, 2017 (2 updates tracked since 2017).

About Dr. Colleen Smith Md NPPES

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

DR. COLLEEN SMITH MD (NPI 1255330965) is an individual family medicine provider in Pataskala, Ohio, licensed in Ohio (35-079346) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of University Of Cincinnati College Of Medicine (1994).

NPPES Registry Identity

NPI1255330965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. COLLEEN SMITHCredential: MD
Location Address1 HEALTHY PL, SUITE 101Pataskala, OH 43062-7067
Mailing Address1 Healthy Pl, Suite 101Pataskala, OH 43062-7067 · (220) 564-1900 · Fax (220) 564-1901
Phone(220) 564-1900
Fax(220) 564-1901
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1994
Enumeration DateJuly 15, 2005
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
✔ NPI 1255330965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35-079346✔ Licensed in OH · 35079346
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.
1 HEALTHY PL, Pataskala, OH 43062
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Other Identifiers 1

Medicaid2230722OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Dr. Colleen Smith 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 ID6406934629
PECOS Enrollment IDI20080429000002
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 6

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.
152 services84 patients
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.
101 services64 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.
29 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services22 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.
25 services25 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43062 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims24 services$62.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$29.28 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 8

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

TIFFANY E.D. INGLIS M.D.
Obstetrics & Gynecology
1 HEALTHY PL, SUITE 201
PATASKALA, OH 43062
Licking County (220) 564-1920
LICKING MEMORIAL PROFESSIONAL CORP.
Pediatrics
1 HEALTHY PL, STE 203
PATASKALA, OH 43062
Licking County (740) 348-1925
LICKING MEMORIAL PROFESSIONAL CORP.
Obstetrics & Gynecology
1 HEALTHY PL, SUITE 103
PATASKALA, OH 43062
Licking County (740) 348-1920
LICKING MEMORIAL PROFESSIONAL CORP.
Psychiatry & Neurology (Psychiatry)
1 HEALTHY PL, SUITE 105
PATASKALA, OH 43062
Licking County (740) 348-1930
LICKING MEMORIAL PROFESSIONAL CORPORATION
Dermatology
1 HEALTHY PL, SUITE 205
PATASKALA, OH 43062
Licking County (740) 348-1930
LICKING MEMORIAL PROFESSIONAL CORP
Family Medicine
1 HEALTHY PL, SUITE 101
PATASKALA, OH 43062
Licking County (740) 348-1900
DALIA S ELKHAIRI MD
Obstetrics & Gynecology
1 HEALTHY PL, SUITE 201
PATASKALA, OH 43062
Licking County (740) 348-1920
CONNIE S JENKINS MD
Psychiatry & Neurology (Psychiatry)
1 HEALTHY PL, SUITE 105
PATASKALA, OH 43062
Licking County (740) 348-1930

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 Colleen Smith's NPI number?

The NPI number for Colleen Smith is 1255330965. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Colleen Smith located?

Colleen Smith practices at 1 Healthy Pl Suite 101, Pataskala, OH 43062. The listed phone number is (220) 564-1900.

What is Colleen Smith's specialty?

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

Is Colleen Smith enrolled in Medicare?

Yes. Colleen 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.

What insurance does Colleen Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Colleen 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 Colleen Smith affiliated with any hospitals?

According to CMS data, Colleen Smith is affiliated with Mount Carmel East & West and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Smith was last updated on March 24, 2023. 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.