RACHAEL SMITH D.O.
NPI 1437257755
Physical Medicine & Rehabilitation - Pain Medicine in Dover, DE

Active since September 20, 2006PECOS Enrolled
75/100
CMS Quality Rating
200 BANNING ST, SUITE 350, DOVER, DE 19904(302) 730-8848(302) 730-8846 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rachael Smith D.o. NPPES

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

RACHAEL SMITH D.O. (NPI 1437257755) is an individual pain medicine provider in Dover, Delaware, licensed in Delaware (C20006220) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437257755
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameRACHAEL SMITHCredential: D.O.
Location Address200 BANNING ST, SUITE 350Dover, DE 19904-3485
Mailing Address200 Banning St, Suite 350Dover, DE 19904-3485 · (302) 730-8848 · Fax (302) 730-8846
Fax(302) 730-8846
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 29, 2011
NPI 1437257755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in DE · C20006220
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

200 BANNING ST, Dover, DE 19904

Other Identifiers 13

Other386606954DE · Bc/bs
Other395302DE · Miami, Optimum Choice
Medicare UPINH41864DE
Medicare ID-Type Unspecified012431R92CT
Other0001137603DE · De Physicians Care
Other7428307DE · Aetna - Ppo
OtherP3437216DE · Oxford Health Plan
OtherP00162142DE · Railroad Medicare
Other3217896CT · Aetna - Hmo
Other190991DE · Coventry
Other9904178DE · Cigna
Medicaid0001137603DE
Other510329923DE · United Health Care

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rachael Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2024 & 2026 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, 20-29 minutes 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.
401 services163 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
300 services137 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
126 services71 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
102 services58 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services68 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
82 services62 patients

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

Reported Quality Measures

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.
77%1,194 patients1/55-star benchmark: 100%
Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
100%84 patients5/55-star benchmark: 100%
Evaluation or Interview for Risk of Opioid Misuse
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the…
100%84 patients5/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
100%82 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
75%1,195 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.

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.

Urology
200 BANNING ST, SUITE 250
DOVER, DE 19904
Urology
200 BANNING ST, SUITE 250
DOVER, DE 19904
Urology
200 BANNING ST, SUITE 250
DOVER, DE 19904
Urology
200 BANNING ST, SUITE 250
DOVER, DE 19904
Nurse Practitioner (Family)
200 BANNING ST, SUITE 170
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
200 BANNING ST, SUITE 340
DOVER, DE 19904
Surgery
200 BANNING ST, STE 200
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
200 BANNING ST, SUITE 340
DOVER, DE 19904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437257755, enumerated as an "individual" on September 20, 2006.

The provider is located at 200 BANNING ST SUITE 350 DOVER, DE 19904 and the phone number is (302) 730-8848.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Aetna,. Please consult your insurance carrier or call the provider to verify.