DR. MICHAEL SHANE SMITH MD
NPI 1437199312
Orthopaedic Surgery in Loganville, GA
About Dr. Michael Shane Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL SHANE SMITH MD (NPI 1437199312) is an individual orthopaedic surgery provider in Loganville, Georgia, licensed in Georgia (53174) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains 8 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 8
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Shane 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Walton Hospital
Acute Care Hospitals · Monroe, GAPiedmont Eastside Medical Center
Acute Care Hospitals · Snellville, GAMorgan Medical Center
Critical Access Hospitals · Madison, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGANVILLE, GA 30052
LOGANVILLE, GA 30052
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 Michael Smith's NPI number?
The NPI number for Michael Smith is 1437199312. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Michael Smith located?
Michael Smith practices at 3440 Highway 81, Loganville, GA 30052. The listed phone number is (770) 554-5009.
What is Michael Smith's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Michael Smith enrolled in Medicare?
Yes. Michael 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.
Which organization bills Medicare for Michael Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Smith reassigns Medicare benefits to Athens Orthopedic Clinic, PA (Athens, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael 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 Michael Smith affiliated with any hospitals?
According to CMS data, Michael Smith is affiliated with Piedmont Walton Hospital, Piedmont Eastside Medical Center and Morgan Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Smith was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Michael Shane Smith, MD · NPI 1437199312
Orthopaedic Surgery physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1437199312 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 53174 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3440 HIGHWAY 81, Loganville, GA 30052-9112
- **Phone:** (770) 554-5009 · **Fax:** (706) 549-1663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Athens Orthopedic Clinic, PA (NPI 1063495299, Athens, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2001
## Record status
- **NPPES last updated:** March 11, 2024
- **Other identifiers:** Other 11590116
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Source: [NPI Profile](https://npiprofile.com/npi/1437199312) · Data from the CMS NPPES public registry.