DR. COLLEEN SMITH MD
NPI 1255330965
Family Medicine in Pataskala, OH
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 maintains a secondary practice location in Pataskala.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Colleen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Licking Memorial Health Professionals
- 280 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 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.
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, OHLicking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician 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.
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.
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.
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.
PATASKALA, OH 43062
PATASKALA, OH 43062
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.
Which organization bills Medicare for Colleen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Smith reassigns Medicare benefits to Licking Memorial Professional Corporation (Newark, OH). The 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 Colleen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Smith accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and Molina Healthcare 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.
# Dr. Colleen Smith, MD · NPI 1255330965
Family Medicine physician in Pataskala, Ohio. Individual provider, active in the CMS NPPES registry since July 15, 2005.
## Identity
- **NPI:** 1255330965 (Entity type: Individual)
- **Enumerated:** July 15, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35-079346 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HEALTHY PL, SUITE 101, Pataskala, OH 43062-7067
- **Phone:** (220) 564-1900 · **Fax:** (220) 564-1901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Licking Memorial Professional Corporation (NPI 1932186053, Newark, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** March 24, 2023
- **Other identifiers:** Medicaid 2230722 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1255330965) · Data from the CMS NPPES public registry.