CHARELLE OCTAVIA SMITH MD
NPI 1285128504
Family Medicine in Du Quoin, IL

Q: What is Charelle Smith's NPI number?

The NPI number for Charelle Smith is 1285128504. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Charelle Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charelle Smith was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

1564 S WASHINGTON ST, DU QUOIN, IL 62832(618) 542-8702(618) 542-8792 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Jul 5, 2024, Jun 20, 2018 (3 updates tracked since 2018).

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About Charelle Octavia Smith Md NPPES

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

CHARELLE OCTAVIA SMITH MD (NPI 1285128504) is an individual family medicine provider in Du Quoin, Illinois, licensed in Illinois (036.153658) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285128504

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCHARELLE OCTAVIA SMITHCredential: MD

Location Address1564 S WASHINGTON STDu Quoin, IL 62832-3849

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2401 · Fax (618) 453-1102

Phone(618) 542-8702

Fax(618) 542-8792

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 20, 2018

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1285128504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.153658

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.

1564 S WASHINGTON ST, Du Quoin, IL 62832

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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

Charelle Octavia 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 ID6305194283

PECOS Enrollment IDI20201113000423

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

33 services24 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

32 services31 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.

15 services14 patients

Detection test by immunoassay technique for streptococcus, group a (strep) 87430

A detection test using the immunoassay technique for Group A Strep is a simple procedure. It identifies a specific bacteria, Streptococcus, which can cause throat infections. A swab from your throat is taken and tested for the presence of these bacteria.

14 services14 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141331

Location900 North Washington StreetDu Quoin, IL 62832 · Perry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62832 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

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 13

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

ANALIESE WILMSMEYER PA-S

Physician Assistant