CHARLES EDWARD SMITH M.D.
NPI 1376589085
Family Medicine in Lincoln, NE

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
555 S 70TH ST, LINCOLN, NE 68510(402) 219-8000(402) 426-4642 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Edward Smith M.d. NPPES

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

CHARLES EDWARD SMITH M.D. (NPI 1376589085) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (18817) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of University Of Nebraska College Of Medicine (1991).

NPPES Registry Identity

NPI1376589085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES EDWARD SMITHCredential: M.D.
Location Address555 S 70TH STLincoln, NE 68510-2462
Mailing Address555 S 70th StLincoln, NE 68510-2462 · (402) 219-8000
Fax(402) 426-4642
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1991
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
NPI 1376589085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 18817
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 S 70TH ST, Lincoln, NE 68510

Other Identifiers 1

Medicaid1376589085NE

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

Charles 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 ID9032108915
PECOS Enrollment IDI20040506001425
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 5

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 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.
56 services25 patients
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.
42 services26 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.
22 services22 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.
20 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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
8 suppliers24 claims55 services$6.16 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers22 claims22 services$33.03 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers18 claims18 services$85.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers18 claims51 services$31.85 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers22 claims129 services$16.60 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims68 services$14.10 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 20

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

Nurse Practitioner (Neonatal)
555 S 70TH ST
LINCOLN, NE 68510
Nurse Anesthetist, Certified Registered
555 S 70TH ST
LINCOLN, NE 68510
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Anesthesiology
555 S 70TH ST
LINCOLN, NE 68510
Occupational Therapist
555 S 70TH ST, RM 2504
LINCOLN, NE 68510

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 Charles Smith's NPI number?

The NPI number for Charles Smith is 1376589085. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Charles Smith located?

Charles Smith practices at 555 S 70th St, Lincoln, NE 68510. The listed phone number is (402) 219-8000.

What is Charles Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Smith enrolled in Medicare?

Yes. Charles 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 Charles Smith accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Charles 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 Charles Smith affiliated with any hospitals?

According to CMS data, Charles Smith is affiliated with Chi Health St. Elizabeth.

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on June 1, 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.