1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Family Medicine
  6. NPI Profile

SEAN AMERY SCOTT SMITH M.D.
NPI 1255349064
Family Medicine in Durham, NC

Active since August 04, 2006PECOS Enrolled
3100 ERWIN RD, DURHAM, NC 27705(336) 293-3372 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Amery Scott Smith M.d. NPPES

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

SEAN AMERY SCOTT SMITH M.D. (NPI 1255349064) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2006-01012) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255349064
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN AMERY SCOTT SMITHCredential: M.D.
Location Address3100 ERWIN RDDurham, NC 27705-4505
Mailing Address409n Estes DrChapel Hill, NC 27514-7630 · (336) 543-8355 · Fax (919) 537-8921
Phone(336) 293-3372
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateOctober 29, 2015
✔ NPI 1255349064 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 · 2006-01012
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.
3100 ERWIN RD, Durham, NC 27705
Open in Google Maps ↗

Other Identifiers 1

Other2006-01012NC · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Amery Scott Smith M.d. 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.

Medicare Billing Reassignments

2

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

Landmark Medical Of North Carolina PC
6.7 mi
General Practice
2645 MERIDIAN PKWY STE 323
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1326547514 (657) 400-5180
Landmark Medical Of Tennessee PC
182 mi
General Practice
1320 MAIN ST STE 300
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1003531567 (657) 400-5180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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.

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 54% · 195 patients
55%195 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 218 patients
0%218 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$21.02 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$9.38 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 4

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

MRS. ROBYN HILLARY HOFFMAN WILSON DPT, NCS
Physical Therapist
3100 ERWIN RD
DURHAM, NC 27705
Durham County (919) 383-1546
THI OF NORTH CAROLINA AT DURHAM, LLC
Skilled Nursing Facility
3100 ERWIN RD
DURHAM, NC 27705
Durham County (919) 383-1546
UNITED REHAB INC.
Clinic/Center (Rehabilitation)
3100 ERWIN RD
DURHAM, NC 27705
Durham County (919) 383-1546
QSM-NC, PA
Surgery
3100 ERWIN RD
DURHAM, NC 27705
Durham County (800) 226-8874

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 Sean Smith's NPI number?

The NPI number for Sean Smith is 1255349064. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Sean Smith located?

Sean Smith practices at 3100 Erwin Rd, Durham, NC 27705. The listed phone number is (336) 293-3372.

What is Sean Smith's specialty?

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

Is Sean Smith enrolled in Medicare?

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

Which organizations bill Medicare for Sean Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Smith reassigns Medicare benefits to 2 organizations: Landmark Medical Of North Carolina PC (Durham, NC) and Landmark Medical Of Tennessee PC (Columbia, SC). 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 Sean Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Smith was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.