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JAMES R SMITH M.D.
NPI 1386685519
Family Medicine in Christiansburg, VA

Active since June 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 49D0997998 · Waiver
225 CENTRAL AVE, CHRISTIANSBURG, VA 24073(540) 382-4221(540) 381-1889 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James R Smith M.d. NPPES

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

JAMES R SMITH M.D. (NPI 1386685519) is an individual family medicine provider in Christiansburg, Virginia, licensed in Virginia (0101058436) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 1, 2028, and is affiliated with Carilion New River Valley Medical Center.

NPPES Registry Identity

NPI1386685519
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES R SMITHCredential: M.D.
Location Address225 CENTRAL AVEChristiansburg, VA 24073
Mailing AddressPo Box 2485Christiansburg, VA 24068-2485 · (540) 382-4221 · Fax (540) 552-3100
Phone(540) 382-4221
Fax(540) 381-1889
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 1986
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1386685519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101058436
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.
225 CENTRAL AVE, Christiansburg, VA 24073
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB06265VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James R 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 ID8527193671
PECOS Enrollment IDI20100316000113
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.

Medicare Billing Reassignment

Medicare enrollment records show James Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James Randall Smith MD PC
Same address
Specialist
225 CENTRAL AVE
Christiansburg, VA 24073
  • Reassigned Medicare billing, Virginia enrollment
NPI 1093725012 (540) 382-4221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0997998

James Randall Smith, MD, PC · Christiansburg, VA
Active · expires Apr 1, 2028
CLIA Number49D0997998
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorJames R. Smith, MD
Laboratory Phone(540) 382-4221
Laboratory LocationJames Randall Smith, MD, PC116 Oak Tree Boulevard, Christiansburg, VA 24073
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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 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.
955 services274 patients

Hospital Affiliations CMS Care Compare 3

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

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490110
Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County
Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490116
Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24073 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 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 suppliers53 claims103 services$6.17 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers24 claims26 services$1.09 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
1 supplier12 claims12 services$83.83 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.

JAMES RANDALL SMITH MD PC
Specialist
225 CENTRAL AVE
CHRISTIANSBURG, VA 24073
Montgomery County (540) 382-4221

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 James Smith's NPI number?

The NPI number for James Smith is 1386685519. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Smith located?

James Smith practices at 225 Central Ave, Christiansburg, VA 24073. The listed phone number is (540) 382-4221.

What is James Smith's specialty?

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

Is James Smith enrolled in Medicare?

Yes. James 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.

Which organization bills Medicare for James Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Smith reassigns Medicare benefits to James Randall Smith MD PC (Christiansburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does James Smith hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0997998) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is James Smith affiliated with any hospitals?

According to CMS data, James Smith is affiliated with Carilion New River Valley Medical Center, Lewisgale Hospital Montgomery and Lewisgale Hospital Pulaski.

When was this NPI record last updated?

The NPPES record for James Smith was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.