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DR. STEPHEN DOUGLAS SMITH M.D.
NPI 1497925051
Internal Medicine - Hematology & Oncology in Seattle, WA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
825 EASTLAKE AVE E # G3-200, SEATTLE, WA 98109(206) 288-7099(206) 288-1130 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Douglas Smith M.d. NPPES

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

DR. STEPHEN DOUGLAS SMITH M.D. (NPI 1497925051) is an individual hematology & oncology provider in Seattle, Washington, licensed in Ohio (35086147) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Southern California Keck School Of Medicine (2002).

NPPES Registry Identity

NPI1497925051
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. STEPHEN DOUGLAS SMITHCredential: M.D.
Location Address825 EASTLAKE AVE E # G3-200Seattle, WA 98109-4405
Mailing Address825 Eastlake Ave E # G3-200Seattle, WA 98109-4405
Phone(206) 288-7099
Fax(206) 288-1130
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2002
Enumeration DateMarch 10, 2008
Last NPPES UpdateOctober 10, 2013
✔ NPI 1497925051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OH · 35086147
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
825 EASTLAKE AVE E # G3-200, Seattle, WA 98109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Stephen Douglas 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 ID5799857785
PECOS Enrollment IDI20130709000606
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 5

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.
113 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services41 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.
54 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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 Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1497925051. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Stephen Smith located?

Stephen Smith practices at 825 Eastlake Ave E # G3-200, Seattle, WA 98109. The listed phone number is (206) 288-7099.

What is Stephen Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Stephen Smith enrolled in Medicare?

Yes. Stephen 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 Stephen Smith accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephen 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 Stephen Smith affiliated with any hospitals?

According to CMS data, Stephen Smith is affiliated with St Luke's Regional Medical Center and University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Stephen Smith was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.