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DR. DOUGLAS A SMITH M.D.
NPI 1538342118
Family Medicine in Long Lake, MN

Active since December 06, 2007Opted out of Medicare · through May 19, 2027
155 GOLDEN VIEW DR, LONG LAKE, MN 55356(612) 889-2675(952) 831-8056 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Douglas A Smith M.d. NPPES

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

DR. DOUGLAS A SMITH M.D. (NPI 1538342118) is an individual family medicine provider in Long Lake, Minnesota, licensed in Minnesota (31956) and active in the NPI registry since December 2007. He has opted out of Medicare through May 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538342118
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS A SMITHCredential: M.D.
Location Address155 GOLDEN VIEW DRLong Lake, MN 55356-9779
Mailing Address155 Golden View DrLong Lake, MN 55356-9779 · (612) 889-2675 · Fax (952) 831-8056
Phone(612) 889-2675
Fax(952) 831-8056
Sole ProprietorYes
Enumeration DateDecember 6, 2007
✔ NPI 1538342118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 31956
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.
155 GOLDEN VIEW DR, Long Lake, MN 55356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Douglas A Smith M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2017 through May 19, 2027.

Opt-Out Effective DateMay 19, 2017
Opt-Out In Effect ThroughMay 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55356 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1538342118. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Douglas Smith located?

Douglas Smith practices at 155 Golden View Dr, Long Lake, MN 55356. The listed phone number is (612) 889-2675.

What is Douglas Smith's specialty?

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

Is Douglas Smith enrolled in Medicare?

No. Douglas Smith has opted out of Medicare through May 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.