TOMMIE S SMITH PA-C
NPI 1265635957
Physician Assistant in Carbondale, IL

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Jul 17, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Tommie S Smith Pa-c NPPES

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

TOMMIE S SMITH PA-C (NPI 1265635957) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-002322) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265635957
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTOMMIE S SMITHCredential: PA-C
Location Address2601 W MAIN STCarbondale, IL 62901-1031
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-4878
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 8, 2007
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1265635957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085-002322
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2601 W MAIN ST, Carbondale, IL 62901

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

Tommie S Smith Pa-c 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 ID2466523089
PECOS Enrollment IDI20080625000124
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 5

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.
179 services111 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.
94 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
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.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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 (Gastroenterology)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner (Psychiatric/Mental Health)
2601 W MAIN ST
CARBONDALE, IL 62901

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 Tommie Smith's NPI number?

The NPI number for Tommie Smith is 1265635957. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Tommie Smith located?

Tommie Smith practices at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is Tommie Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tommie Smith enrolled in Medicare?

Yes. Tommie 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.

Is Tommie Smith affiliated with any hospitals?

According to CMS data, Tommie Smith is affiliated with Herrin Hospital, Heartland Regional Medical Center, Crossroads Community Hospital and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Tommie Smith was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.