LOU M. SMITH M.D.
NPI 1295778421
Surgery - Surgical Critical Care in Johnson City, TN

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2477 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2018, Feb 23, 2017 (2 updates tracked since 2017).

About Lou M. Smith M.d. NPPES

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

LOU M. SMITH M.D. (NPI 1295778421) is an individual surgical critical care provider in Johnson City, Tennessee, licensed in Tennessee (29384) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of University Of South Alabama College Of Medicine (1985).

NPPES Registry Identity

NPI1295778421
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameLOU M. SMITHCredential: M.D.
Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1985
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
NPI 1295778421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in TN · 29384
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 29384 (TN)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License MD0000029384 (TN)
410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604

Other Identifiers 3

MedicaidQ005015TN
Medicaid3339554TN
Medicaid1295778421VA

Accepted 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

Lou M. Smith 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 ID8022077395
PECOS Enrollment IDI20041004000835
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 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.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604

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 Lou Smith's NPI number?

The NPI number for Lou Smith is 1295778421. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Lou Smith located?

Lou Smith practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Lou Smith's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Lou Smith enrolled in Medicare?

Yes. Lou 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.

What insurance does Lou Smith accept?

Health plans from BlueCross BlueShield of Tennessee list Lou Smith 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 Lou Smith affiliated with any hospitals?

According to CMS data, Lou Smith is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Lou Smith was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.