ERICA B SMITH MD
NPI 1386918894
Obstetrics & Gynecology in Clairton, PA

Active since March 01, 2012PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
575 COAL VALLEY RD STE 300, CLAIRTON, PA 15025(412) 267-6600(412) 267-6281 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2022, Jan 30, 2017 (2 updates tracked since 2017).

About Erica B Smith Md NPPES

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

ERICA B SMITH MD (NPI 1386918894) is an individual obstetrics & gynecology provider in Clairton, Pennsylvania, licensed in Pennsylvania (MD452466) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of West Virginia University School Of Medicine (2010).

NPPES Registry Identity

NPI1386918894
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameERICA B SMITHCredential: MD
Location Address575 COAL VALLEY RD STE 300Clairton, PA 15025-3770
Mailing Address575 Coal Valley Rd Ste 300Clairton, PA 15025-3770 · (412) 267-6600 · Fax (412) 267-6281
Fax(412) 267-6281
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2010
Enumeration DateMarch 1, 2012
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1386918894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD452466
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

575 COAL VALLEY RD STE 300, Clairton, PA 15025

Other Identifiers 1

Medicaid102961885PA

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

Erica B Smith Md 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 ID7214157247
PECOS Enrollment IDI20140925001436
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025
Obstetrics & Gynecology
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025
Physician Assistant
575 COAL VALLEY RD STE 300, MAGEE WOMENS HOSPITAL OF UPMC
CLAIRTON, PA 15025
Obstetrics & Gynecology
575 COAL VALLEY RD STE 300, SUITE 0610
CLAIRTON, PA 15025
Obstetrics & Gynecology
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025
Nurse Practitioner (Family)
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025
Physician Assistant
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025
Physician Assistant (Medical)
575 COAL VALLEY RD STE 300
CLAIRTON, PA 15025

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 Erica Smith's NPI number?

The NPI number for Erica Smith is 1386918894. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Erica Smith located?

Erica Smith practices at 575 Coal Valley Rd Ste 300, Clairton, PA 15025. The listed phone number is (412) 267-6600.

What is Erica Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Erica Smith enrolled in Medicare?

Yes. Erica 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.

Is Erica Smith affiliated with any hospitals?

According to CMS data, Erica Smith is affiliated with Penn Highlands Mon Valley and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Erica Smith was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.