DR. MATTHEW PATRICK SMITH D.O.
NPI 1336193440
Orthopaedic Surgery - Sports Medicine in Guntersville, AL

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
56.59/100
CMS Quality Rating
7938 AL HIGHWAY 69 STE 100, GUNTERSVILLE, AL 35976(256) 539-2728 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jan 3, 2017, Aug 31, 2016 (3 updates tracked since 2016).

About Dr. Matthew Patrick Smith D.o. NPPES

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

DR. MATTHEW PATRICK SMITH D.O. (NPI 1336193440) is an individual sports medicine provider in Guntersville, Alabama, licensed in Alabama (DO930) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1336193440
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MATTHEW PATRICK SMITHCredential: D.O.
Location Address7938 AL HIGHWAY 69 STE 100Guntersville, AL 35976-7135
Mailing Address927 Franklin St SeHuntsville, AL 35801-4306 · (256) 539-2728
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 1, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1336193440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in AL · DO930
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DO930 (AL)
7938 AL HIGHWAY 69 STE 100, Guntersville, AL 35976

Other Identifiers 3

Medicaid009938489AL
Medicaid009938491AL
Other6715950001AL · Dmerc

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. Matthew Patrick Smith D.o. 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 ID4688678485
PECOS Enrollment IDI20060911000177
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 38

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,696 services245 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,312 services18 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.
376 services285 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
341 services227 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
297 services235 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.
246 services219 patients

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.

56.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.19
Promoting Interoperability0
Improvement Activities40
Cost91.44

Reported Quality Measures

Breast Cancer Screening
0%1,065 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%613 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%2,063 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%929 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%28 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
42%5,460 patients1/55-star benchmark: 100%
e-Prescribing
100%1,463 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,616 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%79 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%3,445 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 2% · 321 patients
Patients screened: 99% · 1,371 patients
82%1,371 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%1,330 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 1,616 patients
Patients totalRate: 5% · 1,616 patients
5%1,616 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers56 claims56 services$64.68 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier46 claims46 services$9.45 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier478 claims478 services$70.70 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier67 claims807 services$18.77 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$41.41 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$108.32 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

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

Orthopaedic Surgery (Sports Medicine)
7938 AL HIGHWAY 69 STE 100
GUNTERSVILLE, AL 35976

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 Matthew Smith's NPI number?

The NPI number for Matthew Smith is 1336193440. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Matthew Smith located?

Matthew Smith practices at 7938 Al Highway 69 Ste 100, Guntersville, AL 35976. The listed phone number is (256) 539-2728.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Matthew Smith enrolled in Medicare?

Yes. Matthew 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 Matthew Smith accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Smith was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.