EDWARD B SMITH M.D.
NPI 1255365565
Surgery in Wauwatosa, WI

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
3289 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 771-7900(414) 607-6336 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2021, Oct 8, 2018 (2 updates tracked since 2018).

About Edward B Smith M.d. NPPES

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

EDWARD B SMITH M.D. (NPI 1255365565) is an individual surgery provider in Wauwatosa, Wisconsin, licensed in Wisconsin (25439) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with West Allis Memorial Hospital, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (1981).

NPPES Registry Identity

NPI1255365565
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEDWARD B SMITHCredential: M.D.
Location Address3289 N MAYFAIR RDWauwatosa, WI 53222-3203
Mailing Address3289 N Mayfair RdWauwatosa, WI 53222-3203 · (414) 771-7900 · Fax (414) 607-6336
Fax(414) 607-6336
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 1981
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
NPI 1255365565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 25439
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3289 N MAYFAIR RD, Wauwatosa, WI 53222

Other Identifiers 2

OtherP00465794WI · Rr Medicare
Medicaid31706400WI

Accepted 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

Edward B 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 ID244312494
PECOS Enrollment IDI20080128000516
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services18 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Family Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Nurse Practitioner (Family)
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Durable Medical Equipment & Medical Supplies
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Obstetrics & Gynecology
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Physician Assistant
3289 N MAYFAIR RD
WAUWATOSA, WI 53222

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 Edward Smith's NPI number?

The NPI number for Edward Smith is 1255365565. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Edward Smith located?

Edward Smith practices at 3289 N Mayfair Rd, Wauwatosa, WI 53222. The listed phone number is (414) 771-7900.

What is Edward Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edward Smith enrolled in Medicare?

Yes. Edward 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 Edward Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Edward 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 Edward Smith affiliated with any hospitals?

According to CMS data, Edward Smith is affiliated with West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Smith was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.