DR. DAVID A. SMILEY M.D.
NPI 1316974538
Internal Medicine in Highland Park, IL

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
99.46/100
CMS Quality Rating
480 ELM PL, SUITE 203, HIGHLAND PARK, IL 60035(847) 433-0404(847) 433-1389 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David A. Smiley M.d. NPPES

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

DR. DAVID A. SMILEY M.D. (NPI 1316974538) is an individual internal medicine provider in Highland Park, Illinois, licensed in Illinois (036114109) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Medical College Of Wisconsin (2003).

NPPES Registry Identity

NPI1316974538
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID A. SMILEYCredential: M.D.
Location Address480 ELM PL, SUITE 203Highland Park, IL 60035-2538
Mailing Address480 Elm Pl, Suite 203Highland Park, IL 60035-2538 · (847) 433-0404 · Fax (847) 433-1389
Fax(847) 433-1389
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2003
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316974538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036114109
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

480 ELM PL, Highland Park, IL 60035

Other Identifiers 2

Medicare ID-Type Unspecified308850IL · Medicare Group Provider #
Medicare UPINI51785IL

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. David A. Smiley 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 ID6103836622
PECOS Enrollment IDI20060428000092
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 16

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
427 services230 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.
397 services179 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
252 services198 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
225 services225 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
223 services204 patients
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.
174 services108 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

99.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.03
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%274 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
85%142 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%40 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
3%35 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
98%1,428 patients4/55-star benchmark: 100%
e-Prescribing
100%806 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%162 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
85%102 patients4/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims63 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims14 services$1.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$12.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$62.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Psychologist (Health Service)
480 ELM PL, SUITE 208
HIGHLAND PARK, IL 60035
Family Medicine (Adolescent Medicine)
480 ELM PL, STE #200
HIGHLAND PARK, IL 60035
Internal Medicine
480 ELM PL, SUITE 203
HIGHLAND PARK, IL 60035
Acupuncturist
480 ELM PL, SUITE 102A
HIGHLAND PARK, IL 60035
Internal Medicine
480 ELM PL, SUITE 203
HIGHLAND PARK, IL 60035
Nurse Practitioner
480 ELM PL, SUITE 203
HIGHLAND PARK, IL 60035
Psychologist (Clinical)
480 ELM PL, SUITE 104
HIGHLAND PARK, IL 60035
Social Worker (Clinical)
480 ELM PL, SUITE 110
HIGHLAND PARK, IL 60035

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 David Smiley's NPI number?

The NPI number for David Smiley is 1316974538. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is David Smiley located?

David Smiley practices at 480 Elm Pl Suite 203, Highland Park, IL 60035. The listed phone number is (847) 433-0404.

What is David Smiley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Smiley enrolled in Medicare?

Yes. David Smiley 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.

Is David Smiley affiliated with any hospitals?

According to CMS data, David Smiley is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Lake Forest Hospital and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for David Smiley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.