MARK G SMITH MD
NPI 1447245758
Orthopaedic Surgery in Louisville, KY

Q: What is Mark Smith's NPI number?

The NPI number for Mark Smith is 1447245758. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Mark Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 13, 2005PECOS EnrolledAccepts Medicare Assignment

97.35/100

CMS Quality Rating

13151 MAGISTERIAL DR, STE 200, LOUISVILLE, KY 40223(502) 587-1236(502) 587-0126 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark G Smith Md NPPES

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

MARK G SMITH MD (NPI 1447245758) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (25914) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447245758

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK G SMITHCredential: MD

Location Address13151 MAGISTERIAL DR, STE 200Louisville, KY 40223

Mailing Address13151 Magisterial Dr, Suite 200Louisville, KY 40223-4103 · (502) 587-1236 · Fax (502) 587-0126

Phone(502) 587-1236

Fax(502) 587-0126

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1987

Enumeration DateSeptember 13, 2005

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1447245758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KY · 25914

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.

13151 MAGISTERIAL DR, Louisville, KY 40223

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15120 Dixie Hwy Ste 103Louisville, KY 40216-1775 · Phone (502) 587-1236 · Fax (502) 587-0126

Location 24123 Dutchmans Ln Ste 101Louisville, KY 40207-4718 · Phone (502) 559-1777 · Fax (502) 559-1775

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mark G 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 ID749396463

PECOS Enrollment IDI20110414000761, I20110722000436

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 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.

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.

2,865 services305 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.

543 services292 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.

485 services350 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.

413 services306 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

117 services90 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

116 services116 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.

65 services51 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

41 services39 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

21 services12 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

18 services18 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

16 services11 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

16 services16 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

97.35/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960

DME-Orthotic Devices · category DF000N

4 suppliers60 claims60 services$396.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 16

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

MICHAEL SALAMON M.D.

Orthopaedic Surgery

13151 MAGISTERIAL DR, SUITE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

RYAN MATTHEW TAYLOR

Specialist/Technologist (Athletic Trainer)

13151 MAGISTERIAL DR
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

DR. DANIEL EDWARD RUEFF M.D.

Orthopaedic Surgery

13151 MAGISTERIAL DR, SUITE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

EBO MRI, LLC

Clinic/Center (Magnetic Resonance Imaging (MRI))

13151 MAGISTERIAL DR
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

SHERI BROOKE HALEY ATC

Specialist/Technologist (Athletic Trainer)

13151 MAGISTERIAL DR, SUITE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC

Durable Medical Equipment & Medical Supplies

13151 MAGISTERIAL DR, SUITE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC

Orthopaedic Surgery

13151 MAGISTERIAL DR, SUITE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

JOSEPH BARIBEAU

Physical Therapist

13151 MAGISTERIAL DR, STE 200
LOUISVILLE, KY 40223

Jefferson County (502) 587-1236

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 Mark Smith's NPI number?

The NPI number for Mark Smith is 1447245758. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Mark Smith located?

Mark Smith practices at 13151 Magisterial Dr Ste 200, Louisville, KY 40223. The listed phone number is (502) 587-1236.

What is Mark Smith's specialty?

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

Is Mark Smith enrolled in Medicare?

Yes. Mark 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 Mark Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mark 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 Mark Smith affiliated with any hospitals?

According to CMS data, Mark Smith is affiliated with Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.