TOMBI SMITH
NPI 1306326616
Nurse Practitioner - Family in Rockford, IL

Active since August 16, 2018PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
2473 MCFARLAND RD, ROCKFORD, IL 61107(779) 696-9202(779) 696-7794 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2021, Aug 20, 2018, Aug 16, 2018 (3 updates tracked since 2018).

About Tombi Smith NPPES

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

TOMBI SMITH (NPI 1306326616) is an individual family provider in Rockford, Illinois, licensed in Illinois (209017952) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1306326616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTOMBI SMITH
Location Address2473 MCFARLAND RDRockford, IL 61107
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Fax(779) 696-7794
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateAugust 16, 2018
Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1306326616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209017952
Also ListedRegistered NurseTaxonomy 163W00000X · License 041382574 (IL)
2473 MCFARLAND RD, Rockford, IL 61107

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

Tombi 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 ID9335492297
PECOS Enrollment IDI20181024000040
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 12

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

Family Medicine
2473 MCFARLAND RD
ROCKFORD, IL 61107
Nurse Practitioner (Family)
2473 MCFARLAND RD
ROCKFORD, IL 61107
Nurse Practitioner (Family)
2473 MCFARLAND RD
ROCKFORD, IL 61107
Preventive Medicine (Occupational Medicine)
2473 MCFARLAND RD
ROCKFORD, IL 61107
Family Medicine
2473 MCFARLAND RD
ROCKFORD, IL 61107
Clinic/Center (Multi-Specialty)
2473 MCFARLAND RD
ROCKFORD, IL 61107
Family Medicine
2473 MCFARLAND RD
ROCKFORD, IL 61107
Physician Assistant (Medical)
2473 MCFARLAND RD
ROCKFORD, IL 61107

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 Tombi Smith's NPI number?

The NPI number for Tombi Smith is 1306326616. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Tombi Smith located?

Tombi Smith practices at 2473 Mcfarland Rd, Rockford, IL 61107. The listed phone number is (779) 696-9202.

What is Tombi Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tombi Smith enrolled in Medicare?

Yes. Tombi 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 Tombi Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Aspirus Health Plan list Tombi 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 Tombi Smith affiliated with any hospitals?

According to CMS data, Tombi Smith is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Tombi Smith was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.