AUSTEN M SMITH DO
NPI 1437714128
Family Medicine in Sandusky, OH

Q: What is Austen Smith's NPI number?

The NPI number for Austen Smith is 1437714128. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Q: What is Austen Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Austen Smith was last updated on February 8, 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.

Active since May 08, 2019PECOS Enrolled

87.25/100

CMS Quality Rating

1221 HAYES AVE STE F, SANDUSKY, OH 44870(419) 557-6550(419) 621-1047 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2024, May 8, 2019 (2 updates tracked since 2019).

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About Austen M Smith Do NPPES

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

AUSTEN M SMITH DO (NPI 1437714128) is an individual family medicine provider in Sandusky, Ohio, licensed in Ohio (34.014785) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437714128

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameAUSTEN M SMITHCredential: DO

Location Address1221 HAYES AVE STE FSandusky, OH 44870-3345

Mailing Address1912 Hayes Ave Ste 1Sandusky, OH 44870-4736 · (419) 557-5541 · Fax (419) 557-5542

Phone(419) 557-6550

Fax(419) 621-1047

Sole ProprietorYes

Enumeration DateMay 8, 2019

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1437714128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.014785

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1221 HAYES AVE STE F, Sandusky, OH 44870

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austen M Smith Do 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 2

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.

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.

37 services23 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.

25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

87.25/100

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

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

JOLENE KELLER MILLS BSN, RN

Internal Medicine (Endocrinology, Diabetes & Metabolism)