JOHN M SMITH M.D.
NPI 1306854567
Radiology - Diagnostic Radiology in Lancaster, PA

Q: What is John Smith's NPI number?

The NPI number for John Smith is 1306854567. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is John Smith's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for John Smith was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

555 N DUKE ST, LANCASTER, PA 17602(717) 544-5941(717) 544-5907 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John M Smith M.d. NPPES

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

JOHN M SMITH M.D. (NPI 1306854567) is an individual diagnostic radiology provider in Lancaster, Pennsylvania, licensed in Kentucky (25656) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1306854567

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOHN M SMITHCredential: M.D.

Location Address555 N DUKE STLancaster, PA 17602-2250

Mailing AddressPo Box 4216Lancaster, PA 17604-4216 · (717) 394-6028 · Fax (717) 394-9223

Phone(717) 544-5941

Fax(717) 544-5907

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985

Enumeration DateAugust 4, 2006

Last NPPES UpdateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1306854567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in KY · 25656

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

555 N DUKE ST, Lancaster, PA 17602

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Other Identifiers 5

Medicaid64256563KY

Medicaid50009541KY

Other000000388816KY · Anthem Blue Facet

Medicaid200814750IN

Medicaid104362717PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

John 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 ID5496643660

PECOS Enrollment IDI20150709002779, I20240927001687

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 7

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.

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

50 services25 patients

Mri scan of leg joint without contrast 73721

34 services33 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

21 services19 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

21 services11 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

20 services20 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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 20

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

TYLER JOHNSTON MD

Family Medicine