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MARK ANTHONY SMILEY M.D.
NPI 1275890477
Emergency Medicine in Concord, NC

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1028 LEE ANN DR NE, CONCORD, NC 28025(704) 782-1892(704) 786-1890 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Anthony Smiley M.d. NPPES

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

MARK ANTHONY SMILEY M.D. (NPI 1275890477) is an individual emergency medicine provider in Concord, North Carolina, licensed in North Carolina (2015-00421) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of University Of Pittsburgh School Of Medicine (2012).

NPPES Registry Identity

NPI1275890477
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK ANTHONY SMILEYCredential: M.D.
Location Address1028 LEE ANN DR NEConcord, NC 28025-2903
Mailing Address1028 Lee Ann Dr NeConcord, NC 28025-2903 · (704) 782-1892 · Fax (704) 786-1890
Phone(704) 782-1892
Fax(704) 786-1890
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateSeptember 22, 2015
✔ NPI 1275890477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2015-00421
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1028 LEE ANN DR NE, Concord, NC 28025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan of North Carolina, Inc.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

Mark Anthony Smiley 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 ID1052620812
PECOS Enrollment IDI20151016001342
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services58 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

BOSTON BRACE INTERNATIONAL INC.
Prosthetic/Orthotic Supplier
1028 LEE ANN DR NE, STE 50
CONCORD, NC 28025
Cabarrus County (980) 781-1521
ADAM DAVID LANGENBRUNNER M.D.
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Cabarrus County (704) 782-1892
MR. COREY L PENA C.O.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1028 LEE ANN DR NE, SUITE 50
CONCORD, NC 28025
Cabarrus County (704) 654-9279
DR. GREGORY LAWRENCE GEERS M.D.
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Cabarrus County (704) 782-1892
NOVANT MEDICAL GROUP, INC.
Family Medicine
1028 LEE ANN DR NE, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 788-1134
JOHN DAVID FRANKLIN M.D.
Emergency Medicine
1028 LEE ANN DR NE, STE 200
CONCORD, NC 28025
Cabarrus County (704) 782-1892
MELORA T DRIVER MD
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Cabarrus County (704) 782-1892
CHRISTINA LYNN MOORE M.D.
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Cabarrus County (704) 782-1892

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 Mark Smiley's NPI number?

The NPI number for Mark Smiley is 1275890477. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Mark Smiley located?

Mark Smiley practices at 1028 Lee Ann Dr NE, Concord, NC 28025. The listed phone number is (704) 782-1892.

What is Mark Smiley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Smiley enrolled in Medicare?

Yes. Mark Smiley 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 Mark Smiley accept?

Health plans from Molina Healthcare and Oscar Health Plan of North Carolina, Inc list Mark Smiley 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 Mark Smiley affiliated with any hospitals?

According to CMS data, Mark Smiley is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Mark Smiley was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.