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JACQUELYN RAE SMITH D.O.
NPI 1356630800
Radiology - Diagnostic Radiology in Lakewood, CO

Active since April 06, 2011PECOS Enrolled
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401(303) 914-8800(303) 716-3777 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2022, Aug 3, 2018, Dec 14, 2016 (3 updates tracked since 2016).

About Jacquelyn Rae Smith D.o. NPPES

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

JACQUELYN RAE SMITH D.O. (NPI 1356630800) is an individual diagnostic radiology provider in Lakewood, Colorado, licensed in Colorado (DR.0056367) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1356630800
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJACQUELYN RAE SMITHCredential: D.O.
Location Address1746 COLE BLVD STE 150Lakewood, CO 80401
Mailing Address816 W Cannon StFort Worth, TX 76104-3194 · (817) 321-0404
Phone(303) 914-8800
Fax(303) 716-3777
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1356630800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CO · DR.0056367✔ Licensed in TX · P9572
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License DR.0056367 (CO)
1746 COLE BLVD STE 150, Lakewood, CO 80401
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacquelyn Rae Garcia D.o.

Secondary Practice Location 1

Location 1815 Pennsylvania AveFort Worth, TX 76104-2224 · Phone (817) 321-0404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Health Plan of the Southwest, Inc. 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 (PECOS)

Jacquelyn Rae Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385927912
PECOS Enrollment IDI20170206002063, I20180910002384
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.

Hospital Affiliations CMS Care Compare

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

Cook Childrens Medical Center

Childrens · Fort Worth, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453300
Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80401 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%24 patients
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 20

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

ARTHUR HARVEY DONAHUE DO
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
GREGORY PARKER MD
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
MR. ADRIAN R. BEGAYE M.D./M.S.
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
EMILY BEAVER
Radiology Practitioner Assistant
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
JEFFREY MEIER M.D.
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
ADRIENNE P JEAVONS PA-C
Physician Assistant
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
JESUS ALBERTO SANCHEZ CONTRERAS JR. D.O.
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800
MR. ZACHARY BRESLAUER RT(R)
Radiology Practitioner Assistant
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Jefferson County (303) 914-8800

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 Jacquelyn Smith's NPI number?

The NPI number for Jacquelyn Smith is 1356630800. It was assigned to this individual provider in the NPPES registry on April 6, 2011. The provider is also known as Jacquelyn Rae Garcia D.O..

Where is Jacquelyn Smith located?

Jacquelyn Smith practices at 1746 Cole Blvd Ste 150, Lakewood, CO 80401. The listed phone number is (303) 914-8800.

What is Jacquelyn Smith's specialty?

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

Is Jacquelyn Smith enrolled in Medicare?

Yes. Jacquelyn Smith is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Smith accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Health Plan of the Southwest, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Jacquelyn 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 Jacquelyn Smith affiliated with any hospitals?

According to CMS data, Jacquelyn Smith is affiliated with Cook Childrens Medical Center.

When was this NPI record last updated?

The NPPES record for Jacquelyn Smith was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.