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MONICA SMITH
NPI 1467770883
Obstetrics & Gynecology in Lexington, SC

Active since May 10, 2010PECOS EnrolledAccepts Medicare Assignment
5535 PLATT SPRINGS RD, LEXINGTON, SC 29073(803) 314-9510(803) 314-9511 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monica Smith NPPES

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

MONICA SMITH (NPI 1467770883) is an individual obstetrics & gynecology provider in Lexington, South Carolina, licensed in South Carolina (91461) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1467770883
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMONICA SMITH
Location Address5535 PLATT SPRINGS RDLexington, SC 29073-7519
Mailing Address104 Wellness Way, Building 2Washington, PA 15301-9706 · (725) 225-3640
Phone(803) 314-9510
Fax(803) 314-9511
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2010
Enumeration DateMay 10, 2010
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1467770883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in SC · 91461✔ Licensed in PA · OS016774
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5535 PLATT SPRINGS RD, Lexington, SC 29073
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Secondary Practice Location 1

Location 1104 Wellness Way, Building 2Washington, PA 15301-9706 · Phone (725) 225-3640

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Monica Smith 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 ID749408029
PECOS Enrollment IDI20241028000469
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

3

Medicare enrollment records show Monica Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health Inc
4.7 mi
Rehabilitation, Cardiac Facilities
811 W MAIN ST STE 212
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1093313207 (803) 358-6187
Spartanburg Medical Center
57 mi
Hematology & Oncology
22725 HIGHWAY 76 E, OUTPATIENT CENTER, THIRD FLOOR
Clinton, SC 29325
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1164807376 (South Carolina), NPI 1396981403 (South Carolina)
  • 814 clinicians in this Medicare group
NPI 1649424151 (864) 938-0620
Washington Physician Services
436 mi
Family Medicine
95 LEONARD AVE, BLDG 2 4TH FLOOR
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 179 clinicians in this Medicare group
NPI 1316917669 (724) 229-1756

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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 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.
31 services26 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29073 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

MS. ALISON HOLLAND SALLINGS ACNP-BC
Nurse Practitioner (Family)
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
THOMAS D BRYAN MD
Family Medicine
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Family Medicine
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
DR. KEVIN Q SHALKHAM MD
Family Medicine
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
LINDSEY LAKE MILLER NP-C
Nurse Practitioner (Family)
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
DR. KEITH D LOBEL MD
Family Medicine
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880
KELLI MARIE HUDON DO
Family Medicine
5535 PLATT SPRINGS RD
LEXINGTON, SC 29073
Lexington County (803) 951-1880

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 Monica Smith's NPI number?

The NPI number for Monica Smith is 1467770883. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Monica Smith located?

Monica Smith practices at 5535 Platt Springs Rd, Lexington, SC 29073. The listed phone number is (803) 314-9510.

What is Monica Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Monica Smith enrolled in Medicare?

Yes. Monica 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 organizations bill Medicare for Monica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Smith reassigns Medicare benefits to 3 organizations: Lexington Health Inc (Lexington, SC), Spartanburg Medical Center (Clinton, SC) and Washington Physician Services (Washington, PA). 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 Monica Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Monica 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 Monica Smith affiliated with any hospitals?

According to CMS data, Monica Smith is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Monica Smith was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.