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ELEANOR C SMITH MD
NPI 1255906681
Family Medicine in Covington, LA

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
17240 HEARTBEAT CIR, COVINGTON, LA 70435(985) 898-4001(985) 867-3069 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2023, May 27, 2021 (2 updates tracked since 2021).

About Eleanor C Smith Md NPPES

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

ELEANOR C SMITH MD (NPI 1255906681) is an individual family medicine provider in Covington, Louisiana, licensed in Louisiana (341243) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with St Tammany Parish Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255906681
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELEANOR C SMITHCredential: MD
Location Address17240 HEARTBEAT CIRCovington, LA 70435-5757
Mailing Address17240 Heartbeat CirCovington, LA 70435-5757 · (985) 898-4001 · Fax (985) 867-3069
Phone(985) 898-4001
Fax(985) 867-3069
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 27, 2021
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1255906681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in LA · 341243✔ Licensed in SC · LL86130
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.
17240 HEARTBEAT CIR, Covington, LA 70435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Eleanor C 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 ID6800292392
PECOS Enrollment IDI20240904001102
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 2

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.
25 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70435 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 16

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

ABIODUN OMOLARA ABOABA MD
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 867-3073
DR. ROBERT CHARLES MIPRO III
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 898-4001
DR. ADEBIMPE SIMISOLA ADEYINKA MD
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 867-3073
MS. TAYLOR REYNES HARVEY DO
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 898-4001
ARLINE MARY FICARRA MD
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 898-4001
EMILY HEBERT MD
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 867-3073
DR. JOBY JACKSON WESTMORELAND MD, PHD
Family Medicine
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 898-4001
LAUREN CARNEY
Student in an Organized Health Care Education/Training Program
17240 HEARTBEAT CIR
COVINGTON, LA 70435
St. Tammany Parish (985) 867-3073

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 Eleanor Smith's NPI number?

The NPI number for Eleanor Smith is 1255906681. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Eleanor Smith located?

Eleanor Smith practices at 17240 Heartbeat Cir, Covington, LA 70435. The listed phone number is (985) 898-4001.

What is Eleanor Smith's specialty?

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

Is Eleanor Smith enrolled in Medicare?

Yes. Eleanor 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 Eleanor Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Eleanor 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 Eleanor Smith affiliated with any hospitals?

According to CMS data, Eleanor Smith is affiliated with St Tammany Parish Hospital.

When was this NPI record last updated?

The NPPES record for Eleanor Smith was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.