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CARLEN SMITH
NPI 1295199453
Family Medicine - Geriatric Medicine in Augusta, ME

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
6 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-7400 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlen Smith NPPES

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

CARLEN SMITH (NPI 1295199453) is an individual geriatric medicine provider in Augusta, Maine, licensed in Maine (MD23136) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1295199453
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameCARLEN SMITH
Location Address6 E CHESTNUT STAugusta, ME 04330-5758
Mailing Address6 E Chestnut StAugusta, ME 04330-5758 · (207) 626-7400
Phone(207) 626-7400
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateApril 13, 2016
Last NPPES UpdateSeptember 6, 2019
✔ NPI 1295199453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in ME · MD23136
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
6 E CHESTNUT ST, Augusta, ME 04330
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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

Carlen Smith 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 ID2860787314
PECOS Enrollment IDI20190924000107
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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
73 services35 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
72 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

DR. CAROL ANNE SAUNDERS MD
Pathology (Anatomic Pathology & Clinical Pathology)
6 E CHESTNUT ST, DEPT OF PATHOLOGY
AUGUSTA, ME 04330
Kennebec County (207) 626-1409
PAUL PLUMER PA-C
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1206
AJAYPAL SINGH PANESAR DDS
Dentist
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 623-3400
ELIZABETH CHESNUT APRN
Nurse Practitioner
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-7400
MRS. CALLI A LOMBARDI PA-C
Physician Assistant (Medical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1000
JENNIFER BLOSSOM MS
Psychologist (Clinical Child & Adolescent)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 623-2977
HENRY W MITCHELL A
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1303
CARL W PIERCE PA-C
Physician Assistant (Surgical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-4111

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 Carlen Smith's NPI number?

The NPI number for Carlen Smith is 1295199453. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Carlen Smith located?

Carlen Smith practices at 6 E Chestnut St, Augusta, ME 04330. The listed phone number is (207) 626-7400.

What is Carlen Smith's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Carlen Smith enrolled in Medicare?

Yes. Carlen 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 Carlen Smith affiliated with any hospitals?

According to CMS data, Carlen Smith is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Carlen Smith was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.