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MICHAEL SMITH M.D.
NPI 1306209549
Pediatrics in Saint Paul, MN

Active since April 04, 2016PECOS Enrolled
83.53/100
CMS Quality Rating
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108(651) 241-9700 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2019, Mar 20, 2017 (2 updates tracked since 2017).

About Michael Smith M.d. NPPES

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

MICHAEL SMITH M.D. (NPI 1306209549) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (65782) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1306209549
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL SMITHCredential: M.D.
Location Address1021 BANDANA BLVD E STE 100Saint Paul, MN 55108
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321
Phone(651) 241-9700
Sole ProprietorNo
Enumeration DateApril 4, 2016
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
✔ NPI 1306209549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 65782
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.
1021 BANDANA BLVD E STE 100, Saint Paul, MN 55108
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Secondary Practice Location 1

Location 11021 Bandana Blvd E Ste 100Saint Paul, MN 55108-5109 · Phone (651) 241-9700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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. JOSHUA LANE WOELK MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
DR. STEPHEN MCHALE MD
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
PHI CHAU DOAN MD
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
DR. ALEXANDER WOONER MD
Family Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
WARIS MOHAMUD ABDI
Nurse Practitioner (Family)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (516) 241-9700
DR. PA CHEE LOR AU.D.
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
DR. ANDREW E FISCHER DPM
Podiatrist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
BENJAMIN E MOREHEAD AUD
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1306209549. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Michael Smith located?

Michael Smith practices at 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.

What is Michael Smith's specialty?

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

Is Michael Smith enrolled in Medicare?

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

What insurance does Michael Smith accept?

Health plans from HealthPartners and Medica list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.