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MALCOLM DEREK SMITH, DPM PC
NPI 1285803049
Podiatrist in Ponca City, OK

Active since February 26, 2008
1700 N 5TH ST, PONCA CITY, OK 74601(580) 765-3389(580) 762-3994 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Malcolm Derek Smith, Dpm Pc NPPES

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

MALCOLM DEREK SMITH, DPM PC (NPI 1285803049) is a healthcare organization registered as a podiatrist in Ponca City, Oklahoma and active in the NPI registry since February 2008. The organization lists Jennifer Rae Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285803049
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMALCOLM DEREK SMITH, DPM PC
Location Address1700 N 5TH STPonca City, OK 74601-2762
Mailing Address1700 N 5th StPonca City, OK 74601-2762 · (580) 765-3389 · Fax (580) 762-3994
Phone(580) 765-3389
Fax(580) 762-3994
Organization SubpartNo
Authorized OfficialJennifer Rae SmithOffice Manager · (580) 765-3389
Enumeration DateFebruary 26, 2008
✔ NPI 1285803049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OK · 198
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1700 N 5TH ST, Ponca City, OK 74601
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Other Identifiers 3

Medicare UPINU71325OK
Other294540038001OK · Blue Cross Blue Shield
Medicare NSC0607390002OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malcolm Derek Smith, Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Malcolm Derek Smith, DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Malcolm Smith, DPM
Podiatry
NPI 1093732562
1700 N 5TH ST
Ponca City, OK 74601
(580) 765-3389
✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Malcolm Derek Smith, Dpm PC's NPI number?

The NPI number for Malcolm Derek Smith, Dpm PC is 1285803049. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Malcolm Derek Smith, Dpm PC located?

Malcolm Derek Smith, Dpm PC is located at 1700 N 5th St, Ponca City, OK 74601. The listed phone number is (580) 765-3389.

What is Malcolm Derek Smith, Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Malcolm Derek Smith, Dpm PC enrolled in Medicare?

Yes. Malcolm Derek Smith, Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Malcolm Derek Smith, Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Malcolm Derek Smith, Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Malcolm Derek Smith, Dpm PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Malcolm Derek Smith, Dpm PC 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.

When was this NPI record last updated?

The NPPES record for Malcolm Derek Smith, Dpm PC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.