DR. MARGUERITE SMITH M.D.
NPI 1487635983
Family Medicine in Clovis, CA

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
275 W HERNDON AVE, CLOVIS, CA 93612(559) 324-6200(559) 324-6280 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marguerite Smith M.d. NPPES

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

DR. MARGUERITE SMITH M.D. (NPI 1487635983) is an individual family medicine provider in Clovis, California, licensed in California (A77625) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2000).

NPPES Registry Identity

NPI1487635983
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARGUERITE SMITHCredential: M.D.
Location Address275 W HERNDON AVEClovis, CA 93612-0204
Mailing AddressPo Box 28949Fresno, CA 93729-8949 · (559) 228-4200 · Fax (559) 224-3920
Fax(559) 324-6280
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2000
Enumeration DateNovember 10, 2005
Last NPPES UpdateFebruary 26, 2020
NPI 1487635983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A77625
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.
275 W HERNDON AVE, Clovis, CA 93612

Other Identifiers 4

Medicaid00A776250CA
OtherP00085108CA · Railroad Medicare
Other00A776250CA · Blue Cross/blue Shield
Other77040368493612B005CA · Champus

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

Dr. Marguerite Smith M.d. 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 ID2961535604
PECOS Enrollment IDI20100802001061
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 7

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.
229 services120 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.
135 services81 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
40 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
36 services24 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$17.30 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 20

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

Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Internal Medicine
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Pediatrics)
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant (Medical)
275 W HERNDON AVE
CLOVIS, CA 93612

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 Marguerite Smith's NPI number?

The NPI number for Marguerite Smith is 1487635983. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Marguerite Smith located?

Marguerite Smith practices at 275 W Herndon Ave, Clovis, CA 93612. The listed phone number is (559) 324-6200.

What is Marguerite Smith's specialty?

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

Is Marguerite Smith enrolled in Medicare?

Yes. Marguerite 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.

When was this NPI record last updated?

The NPPES record for Marguerite Smith was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.