GABRIEL SMITH NP-C
NPI 1396206470
Nurse Practitioner - Family in Prestonsburg, KY

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653(606) 886-1260(606) 886-3590 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriel Smith Np-c NPPES

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

GABRIEL SMITH NP-C (NPI 1396206470) is an individual family provider in Prestonsburg, Kentucky, licensed in Kentucky (3013080) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396206470
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGABRIEL SMITHCredential: NP-C
Location Address1279 OLD ABBOTT MOUNTAIN RDPrestonsburg, KY 41653-1889
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Fax(606) 886-3590
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2019
NPI 1396206470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3013080
1279 OLD ABBOTT MOUNTAIN RD, Prestonsburg, KY 41653

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

Gabriel Smith Np-c 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 ID4789926239
PECOS Enrollment IDI20190502000600
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 4

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.
359 services192 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.
236 services157 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.
75 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
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.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180128
Location2485 Highway 644Louisa, KY 41230 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 14

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

Nuclear Medicine (Nuclear Cardiology)
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Family Medicine
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Physician Assistant
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Family Medicine
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Physical Medicine & Rehabilitation
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Physical Medicine & Rehabilitation
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Internal Medicine (Cardiovascular Disease)
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653
Physical Medicine & Rehabilitation
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653

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 Gabriel Smith's NPI number?

The NPI number for Gabriel Smith is 1396206470. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Gabriel Smith located?

Gabriel Smith practices at 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653. The listed phone number is (606) 886-1260.

What is Gabriel Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gabriel Smith enrolled in Medicare?

Yes. Gabriel 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 Gabriel Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Gabriel 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 Gabriel Smith affiliated with any hospitals?

According to CMS data, Gabriel Smith is affiliated with King's Daughters' Medical Center and Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Gabriel Smith was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.