DR. JOHN MICHAEL SMITH M.D.
NPI 1316971757
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Cincinnati, OH

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
2123 AUBURN AVE STE 201, CINCINNATI, OH 45219(513) 206-1170(513) 206-1172 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Michael Smith M.d. NPPES

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

DR. JOHN MICHAEL SMITH M.D. (NPI 1316971757) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Cincinnati, Ohio, licensed in Ohio (35067018S) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of University Of Louisville School Of Medicine (1989).

NPPES Registry Identity

NPI1316971757
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOHN MICHAEL SMITHCredential: M.D.
Location Address2123 AUBURN AVE STE 201Cincinnati, OH 45219-2906
Mailing Address10506 Montgomery Road, Suite 302Cincinnati, OH 45242 · (513) 865-5120 · Fax (513) 865-5121
Fax(513) 206-1172
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1989
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1316971757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in OH · 35067018S Licensed in KY · 35492
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 35492 (KY), 35067018S (OH)
2123 AUBURN AVE STE 201, Cincinnati, OH 45219

Other Identifiers 9

Other310804060029Caresource
Medicaid64960842KS
Other1800135Unitedhealthcare
Other000000064644Anthem
Other67018Choice Care/humana
Medicaid200328230BIN
Other8330Ky Bcbs
Medicaid0219454OH
Medicaid913231700FL

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

Dr. John Michael 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 ID3779472279
PECOS Enrollment IDI20050203000645
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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
77 services77 patients
Repair of mitral valve with artificial valve on heart-lung machine 33426
The mitral valve repair procedure is a surgery to fix a faulty heart valve. An artificial valve replaces the damaged one while a heart-lung machine takes over heart and lung functions. This ensures circulation and oxygen supply during the operation.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%54 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%54 patients1/55-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 9

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Nurse Practitioner (Family)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Nurse Practitioner (Family)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2123 AUBURN AVE STE 201
CINCINNATI, OH 45219

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 John Smith's NPI number?

The NPI number for John Smith is 1316971757. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Smith located?

John Smith practices at 2123 Auburn Ave Ste 201, Cincinnati, OH 45219. The listed phone number is (513) 206-1170.

What is John Smith's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is John Smith enrolled in Medicare?

Yes. John 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 John Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list John 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 John Smith affiliated with any hospitals?

According to CMS data, John Smith is affiliated with Mosaic Life Care At St Joseph and Christ Hospital.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.