DR. BERT JACKSON SMITH M.D.
NPI 1497839070
Internal Medicine in Johnson City, TN

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
2717 E. OAKLAND AVENUE, JOHNSON CITY, TN 37601(423) 926-2358(276) 258-4056 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Feb 23, 2017 (2 updates tracked since 2017).

About Dr. Bert Jackson Smith M.d. NPPES

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

DR. BERT JACKSON SMITH M.D. (NPI 1497839070) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Virginia (0101256885) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2004).

NPPES Registry Identity

NPI1497839070
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BERT JACKSON SMITHCredential: M.D.
Location Address2717 E. OAKLAND AVENUEJohnson City, TN 37601
Mailing Address2717 East Oakland AvenueJohnson City, TN 37601-1843 · (423) 926-2358 · Fax (423) 926-2680
Fax(276) 258-4056
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2004
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1497839070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101256885 Licensed in TN · 43425
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2717 E. OAKLAND AVENUE, Johnson City, TN 37601

Other Identifiers 8

Medicaid1506626TN
Medicaid7100075230KY
Medicaid1506627TN
Medicaid1497839070VA
MedicaidQ002701TN
Medicaid1497839070NC
OtherP00844330TN · Rr Medicare
Medicaid5913158NC

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. Bert Jackson 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 ID4587738877
PECOS Enrollment IDI20151205000142
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services58 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
50 services45 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
40 services40 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$17.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bert Smith's NPI number?

The NPI number for Bert Smith is 1497839070. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Bert Smith located?

Bert Smith practices at 2717 E. Oakland Avenue, Johnson City, TN 37601. The listed phone number is (423) 926-2358.

What is Bert Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bert Smith enrolled in Medicare?

Yes. Bert 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 Bert Smith was last updated on June 4, 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.