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DR. JUSTIN SMILEY DO
NPI 1457568685
Family Medicine in Santa Rosa Beach, FL

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
43 CASSINE WAY STE 102, SANTA ROSA BEACH, FL 32459(850) 231-1919(850) 231-1918 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Justin Smiley Do NPPES

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

DR. JUSTIN SMILEY DO (NPI 1457568685) is an individual family medicine provider in Santa Rosa Beach, Florida, licensed in Florida (OS12346) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2004).

NPPES Registry Identity

NPI1457568685
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN SMILEYCredential: DO
Location Address43 CASSINE WAY STE 102Santa Rosa Beach, FL 32459-0457
Mailing Address43 Cassine Way Ste 102Santa Rosa Beach, FL 32459-0457 · (850) 231-1919 · Fax (850) 231-1918
Phone(850) 231-1919
Fax(850) 231-1918
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2004
Enumeration DateMay 17, 2007
Last NPPES UpdateSeptember 23, 2019
✔ NPI 1457568685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS12346✔ Licensed in CO · 44001
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.
43 CASSINE WAY STE 102, Santa Rosa Beach, FL 32459
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Other Identifiers 1

Medicaid010391100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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. Justin Smiley Do 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 ID2264596329
PECOS Enrollment IDI20131212000677
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Justin Smiley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Doc Smiley's Urgent Care LLC
Same address
Urgent Care
43 CASSINE WAY, UNIT 102
Santa Rosa Beach, FL 32459
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1942611652 (850) 231-1919
Cep America, LLC
13 mi
Emergency Medicine
7800 US HIGHWAY 98 W
Miramar Beach, FL 32550
  • Reassigned Medicare billing, Florida enrollment
  • 367 clinicians in this Medicare group
NPI 1295442614 (850) 278-3000
North Walton Rural Hospital, LLC
24 mi
Rural
4413 US HIGHWAY 331 S
Defuniak Springs, FL 32435
  • Reassigned Medicare billing, Florida enrollment
  • 45 clinicians in this Medicare group
NPI 1750142121 (850) 920-2065
Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola
67 mi
Emergency Medicine
5151 N 9TH AVE, ER
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1215948096 (850) 416-7000
Emergency Medicine Services Of Fl, LLC
471 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
East Morgan County Hospital
1,202 mi
Critical Access
2400 EDISON ST
Brush, CO 80723
  • Reassigned Medicare billing, Colorado enrollment
  • 35 clinicians in this Medicare group
NPI 1699708743 (970) 842-6200

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services101 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
47 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CHRISTINE F SMILEY DO
Family Medicine
43 CASSINE WAY STE 102
SANTA ROSA BEACH, FL 32459
Walton County (850) 231-1919

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 Justin Smiley's NPI number?

The NPI number for Justin Smiley is 1457568685. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Justin Smiley located?

Justin Smiley practices at 43 Cassine Way Ste 102, Santa Rosa Beach, FL 32459. The listed phone number is (850) 231-1919.

What is Justin Smiley's specialty?

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

Is Justin Smiley enrolled in Medicare?

Yes. Justin Smiley 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 organizations bill Medicare for Justin Smiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Smiley reassigns Medicare benefits to 6 organizations: Doc Smiley's Urgent Care LLC (Santa Rosa Beach, FL), Cep America, LLC (Miramar Beach, FL), North Walton Rural Hospital, LLC (Defuniak Springs, FL), Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola (Pensacola, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and 1 more organization, listed in the Medicare section above. Each 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 Justin Smiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Smiley accept?

Health plans from Oscar Health Maintenance Organization of Florida list Justin Smiley 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 Justin Smiley affiliated with any hospitals?

According to CMS data, Justin Smiley is affiliated with Hca Florida Twin Cities Hospital, Hca Florida Gulf Coast Hospital and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Justin Smiley was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.