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JEROME CHARLES SMITH MD
NPI 1295708675
Pediatrics in Sonoma, CA

Active since February 08, 2006PECOS Enrolled
651 1ST ST W, SUITE H, SONOMA, CA 95476(707) 938-3870(707) 938-3895 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome Charles Smith Md NPPES

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

JEROME CHARLES SMITH MD (NPI 1295708675) is an individual pediatrics provider in Sonoma, California, licensed in California (A66490) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1295708675
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJEROME CHARLES SMITHCredential: MD
Location Address651 1ST ST W, SUITE HSonoma, CA 95476-7045
Mailing Address651 1st St W, Suite HSonoma, CA 95476-7045 · (707) 938-3870 · Fax (707) 938-3895
Phone(707) 938-3870
Fax(707) 938-3895
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1997
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 6, 2011
✔ NPI 1295708675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A66490✔ Licensed in FL · ME83173
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
651 1ST ST W, Sonoma, CA 95476
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Other Identifiers 4

Medicare UPINH46713
Medicaid262135500FL
Medicare ID-Type Unspecified03184Z
MedicaidFHC53855FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome Charles Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385818426
PECOS Enrollment IDI20111129000487
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95476 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 8

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

DR. SCOTT VERNON PERRYMAN M.D.
Surgery
651 1ST ST W, STE K
SONOMA, CA 95476
Sonoma County (707) 938-3870
DR. BRIAN MARTIN SEBASTIAN MD
Internal Medicine
651 1ST ST W, SUITE H
SONOMA, CA 95476
Sonoma County (707) 938-3870
DR. BRETT JAMES DUPONT DPM
Podiatrist (Foot & Ankle Surgery)
651 1ST ST W
SONOMA, CA 95476
Sonoma County (707) 938-1977
PRIMA MEDICAL FOUNDATION
Orthopaedic Surgery
651 1ST ST W, SUITE K
SONOMA, CA 95476
Sonoma County (707) 938-3870
DR. GEETA K MALIK M.D.
Family Medicine
651 1ST ST W, SUITE H
SONOMA, CA 95476
Sonoma County (707) 938-3870
LAWRENCE M HUAN MD
Internal Medicine
651 1ST ST W, STE H
SONOMA, CA 95476
Sonoma County (707) 938-3870
PRIMA MEDICAL FOUNDATION
Surgery
651 1ST ST W, SUITE K
SONOMA, CA 95476
Sonoma County (707) 938-3870
MICHAEL ABE BROWN M.D.
Orthopaedic Surgery
651 1ST ST W, STE K
SONOMA, CA 95476
Sonoma County (707) 938-3870

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 Jerome Smith's NPI number?

The NPI number for Jerome Smith is 1295708675. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jerome Smith located?

Jerome Smith practices at 651 1st St W Suite H, Sonoma, CA 95476. The listed phone number is (707) 938-3870.

What is Jerome Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jerome Smith enrolled in Medicare?

Yes. Jerome Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerome Smith was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.