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DR. WILLIAM EDWARD SMITH M.D.
NPI 1316168909
Obstetrics & Gynecology in Crossville, TN

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
2995 MILLER AVE, CROSSVILLE, TN 38555(931) 787-1362(931) 210-5362 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Jul 7, 2020 (2 updates tracked since 2020).

About Dr. William Edward Smith M.d. NPPES

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

DR. WILLIAM EDWARD SMITH M.D. (NPI 1316168909) is an individual obstetrics & gynecology provider in Crossville, Tennessee, licensed in Tennessee (46148) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1316168909
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. WILLIAM EDWARD SMITHCredential: M.D.
Location Address2995 MILLER AVECrossville, TN 38555-7721
Mailing Address2995 Miller AveCrossville, TN 38555-7721 · (931) 787-1362 · Fax (931) 210-5362
Phone(931) 787-1362
Fax(931) 210-5362
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2010
Enumeration DateMay 1, 2007
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1316168909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 46148
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2995 MILLER AVE, Crossville, TN 38555
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Dr. William Edward 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 ID9537290648
PECOS Enrollment IDI20100706000016
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 6

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.
54 services37 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
25 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services16 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
13 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

Reported Quality Measures

Breast Cancer Screening
52%131 patients3/55-star benchmark: 93%
Cervical Cancer Screening
60%1,465 patients3/55-star benchmark: 98%
Controlling High Blood Pressure
69%26 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%919 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%3,610 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 63% · 1,657 patients
Patients screened: 71% · 1,657 patients
47%244 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

BRAD LEATH MD
Obstetrics & Gynecology
2995 MILLER AVE
CROSSVILLE, TN 38555
Cumberland County (931) 787-1362
MS. SHELLEY L SCHUMACHER CNM
Midwife
2995 MILLER AVE
CROSSVILLE, TN 38555
Cumberland County (931) 787-1362
WILLIAM E SMITH OBSTETRICS & GYNECOLOGY
Obstetrics & Gynecology
2995 MILLER AVE
CROSSVILLE, TN 38555
Cumberland County (931) 787-1362

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 William Smith's NPI number?

The NPI number for William Smith is 1316168909. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is William Smith located?

William Smith practices at 2995 Miller Ave, Crossville, TN 38555. The listed phone number is (931) 787-1362.

What is William Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is William Smith enrolled in Medicare?

Yes. William 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 William Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list William 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 William Smith affiliated with any hospitals?

According to CMS data, William Smith is affiliated with Cumberland Medical Center, Roane Medical Center and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Smith was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.