PAUL SMITH DPM
NPI 1396298642
Podiatrist - Foot & Ankle Surgery in Western Springs, IL

Q: What is Paul Smith's NPI number?

The NPI number for Paul Smith is 1396298642. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Q: What is Paul Smith's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Paul Smith was last updated on February 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 03, 2016PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

915 55TH ST STE 200, WESTERN SPRINGS, IL 60558(708) 352-5652(708) 482-7465 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2020, Jun 16, 2019 (2 updates tracked since 2019).

On this page

About Paul Smith Dpm NPPES

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

PAUL SMITH DPM (NPI 1396298642) is an individual foot & ankle surgery provider in Western Springs, Illinois, licensed in Illinois (016.005833) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of William M. Scholl College Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1396298642

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NamePAUL SMITHCredential: DPM

Location Address915 55TH ST STE 200Western Springs, IL 60558-2267

Mailing Address915 55th St Ste 200Western Springs, IL 60558-2267 · (708) 352-5652 · Fax (708) 482-7465

Phone(708) 352-5652

Fax(708) 482-7465

Sole ProprietorYes

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2016

Enumeration DateAugust 3, 2016

Last NPPES UpdateFebruary 3, 20202 updates tracked since enumeration

✔ NPI 1396298642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016.005833

915 55TH ST STE 200, Western Springs, IL 60558

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Paul Smith Dpm 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 ID1355635459

PECOS Enrollment IDI20190515002470

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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

318 services147 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.

217 services130 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

102 services102 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

101 services36 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

62 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

59 services53 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

47 services13 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

46 services13 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

43 services16 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

33 services14 patients

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.

24 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services12 patients

Removal of fingernails or toenails, 6 or more nails 11721

14 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140065

Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County

Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140122

Location120 North Oak StHinsdale, IL 60521 · Du Page County

Emergency services Birthing friendly

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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Other Providers at the Same Location NPPES 3

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

DR. SEAN P. GOCKE DPM

Podiatrist (Foot & Ankle Surgery)

915 55TH ST STE 200
WESTERN SPRINGS, IL 60558

Cook County (708) 352-5652

DRS. BONET AND DOYLE PTRS

Podiatrist

915 55TH ST STE 200
WESTERN SPRINGS, IL 60558

Cook County (708) 352-5652

DR. BRIAN L ROZANSKI D.P.M.

Podiatrist (Foot & Ankle Surgery)

915 55TH ST STE 200
WESTERN SPRINGS, IL 60558

Cook County (708) 352-5652

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 Paul Smith's NPI number?

The NPI number for Paul Smith is 1396298642. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Paul Smith located?

Paul Smith practices at 915 55th St Ste 200, Western Springs, IL 60558. The listed phone number is (708) 352-5652.

What is Paul Smith's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Paul Smith enrolled in Medicare?

Yes. Paul 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 Paul Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul 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 Paul Smith affiliated with any hospitals?

According to CMS data, Paul Smith is affiliated with Adventist La Grange Memorial Hospital and Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Paul Smith was last updated on February 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.