STEPHEN W SMITH MD
NPI 1407858475
Orthopaedic Surgery in Atlanta, GA

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
78.14/100
CMS Quality Rating
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309(404) 355-0743(404) 355-2136 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen W Smith Md NPPES

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

STEPHEN W SMITH MD (NPI 1407858475) is an individual orthopaedic surgery provider in Atlanta, Georgia, licensed in Georgia (042442) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1990).

NPPES Registry Identity

NPI1407858475
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTEPHEN W SMITHCredential: MD
Location Address2001 PEACHTREE RD NE, SUITE 705Atlanta, GA 30309-1476
Mailing Address2001 Peachtree Rd Ne, Suite 705Atlanta, GA 30309-1476 · (404) 355-0743 · Fax (404) 355-2136
Fax(404) 355-2136
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1990
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 1, 2008
NPI 1407858475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 042442
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 042442 (GA)
2001 PEACHTREE RD NE, Atlanta, GA 30309

Other Identifiers 5

Medicaid00712984AGA
Medicare PINRRBCB4505
Medicare ID-Type Unspecified20BDCTSGA
Medicare UPING28444
Other0486290001Dme

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

Stephen W 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 ID3577579077
PECOS Enrollment IDI20060221000521
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
936 services220 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
427 services351 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
305 services210 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.
283 services216 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.
263 services229 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
230 services198 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

78.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.13
Promoting Interoperability99
Improvement Activities40
Cost67.84

Reported Quality Measures

Advance Care Plan
96%1,195 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
41%547 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
48%42 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,059 patients4/55-star benchmark: 100%
e-Prescribing
94%632 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%1,154 patients4/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%83 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 1,149 patients
Patients screened: 94% · 1,149 patients
62%39 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 93% · 685 patients
Patients screened: 95% · 685 patients
75%68 patients
Provide Patients Electronic Access to Their Health Information
88%1,166 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%35 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,219 patients
Patients totalRate: 2% · 1,219 patients
2%1,219 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers34 claims34 services$43.10 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
4 suppliers26 claims26 services$49.22 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.

Obstetrics & Gynecology
2001 PEACHTREE RD NE, SUITE 640
ATLANTA, GA 30309
Orthopaedic Surgery
2001 PEACHTREE RD NE, STE 705
ATLANTA, GA 30309
Internal Medicine (Pulmonary Disease)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
2001 PEACHTREE RD NE, SUITE 705
ATLANTA, GA 30309
Physician Assistant (Surgical)
2001 PEACHTREE RD NE, STE 645
ATLANTA, GA 30309
Internal Medicine (Critical Care Medicine)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
Neurological Surgery
2001 PEACHTREE RD NE, SUITE 645
ATLANTA, GA 30309
Neurological Surgery
2001 PEACHTREE RD NE, SUITE 575
ATLANTA, GA 30309

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 Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1407858475. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Stephen Smith located?

Stephen Smith practices at 2001 Peachtree Rd NE Suite 705, Atlanta, GA 30309. The listed phone number is (404) 355-0743.

What is Stephen Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen Smith enrolled in Medicare?

Yes. Stephen 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 Stephen Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephen 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 Stephen Smith affiliated with any hospitals?

According to CMS data, Stephen Smith is affiliated with Wellstar Kennestone Regional Medical Center, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Smith was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.