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ANDREW H SMITH MD
NPI 1427041904
Orthopaedic Surgery in Hyannis, MA

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
73.47/100
CMS Quality Rating
130 NORTH STREET, HYANNIS, MA 02601(508) 775-8282(508) 775-1414 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew H Smith Md NPPES

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

ANDREW H SMITH MD (NPI 1427041904) is an individual orthopaedic surgery provider in Hyannis, Massachusetts, licensed in Massachusetts (221560) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of Connecticut School Of Medicine (1997).

NPPES Registry Identity

NPI1427041904
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW H SMITHCredential: MD
Location Address130 NORTH STREETHyannis, MA 02601
Mailing Address130 North StreetHyannis, MA 02601 · (508) 775-8282 · Fax (508) 775-1414
Phone(508) 775-8282
Fax(508) 775-1414
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1997
Enumeration DateAugust 30, 2005
Last NPPES UpdateMay 12, 2008
✔ NPI 1427041904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 221560
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.
130 NORTH STREET, Hyannis, MA 02601
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Other Identifiers 12

OtherAA18638Pilgrim Cigna
Medicare ID-Type UnspecifiedA37406MA
Medicaid9773983MA
OtherM15397Group Number
OtherP00293039MA · Railroad Medicare Palmetto Gba
OtherAA18638MA · Harvard Pilgrim Health Care
Medicaid2080834MA
OtherM15397MA · Ma Blue Cross Blue Shield
Other469686Tufts
OtherJ27894Bcbs
Other2225900First Health
Medicare UPINH51785

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Andrew H 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 ID2163415308
PECOS Enrollment IDI20040826000153
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 11

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.
824 services85 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.
175 services132 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.
102 services87 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.
96 services92 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
67 services64 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.
60 services53 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

73.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.07
Promoting Interoperability99
Improvement Activities40
Cost38.34

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%453 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,631 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
20%44 patients1/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
100%100 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%100 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%160 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%444 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%1,244 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%444 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%444 patients1/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES 8

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

DR. JAMES W BOYLE M.D.
Orthopaedic Surgery
130 NORTH STREET
HYANNIS, MA 02601
Barnstable County (508) 775-8282
JEFF T AUGUST OTRL
Occupational Therapist
130 NORTH STREET, CAPE COD HOSPITAL REHABILITATION
HYANNIS, MA 02601
Barnstable County (508) 771-9600
MR. STEPHEN DONALD MARKEY MS PT
Physical Therapist
130 NORTH STREET, LOWER LEVEL
HYANNIS, MA 02601
Barnstable County (508) 771-9600
JULIA BURNS DOLL
Speech-Language Pathologist
130 NORTH STREET, CAPE COD HOSPITAL OUTPATIENT REHAB DEPT
HYANNIS, MA 02601
Barnstable County (508) 771-9600
MS. SARAH B REISS PT OCS
Physical Therapist
130 NORTH STREET
HYANNIS, MA 02601
Barnstable County (508) 771-9600
MRS. SHARON LEE MYERSON PT
Physical Therapist
130 NORTH STREET, LOWER LEVEL
HYANNIS, MA 02601
Barnstable County (508) 771-9600
MR. DANIEL D CHAPIN NP
Nurse Practitioner
130 NORTH STREET
HYANNIS, MA 02601
Barnstable County (508) 775-8282
TIMOTHY J KINKEAD MD
Orthopaedic Surgery
130 NORTH STREET
HYANNIS, MA 02601
Barnstable County (508) 775-8282

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 Andrew Smith's NPI number?

The NPI number for Andrew Smith is 1427041904. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Andrew Smith located?

Andrew Smith practices at 130 North Street, Hyannis, MA 02601. The listed phone number is (508) 775-8282.

What is Andrew Smith's specialty?

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

Is Andrew Smith enrolled in Medicare?

Yes. Andrew 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 Andrew Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew 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 Andrew Smith affiliated with any hospitals?

According to CMS data, Andrew Smith is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Smith was last updated on May 12, 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.