DR. GEOFFREY DURHAM-SMITH M.D.
NPI 1548314594
Plastic Surgery in Louisville, KY

NPI Status: Active since January 23, 2007

Contact Information

4001 KRESGE WAY
SUITE 320
LOUISVILLE, KY
ZIP 40207
Phone: (502) 895-5850
Fax: (502) 895-1210

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  • Individual
  • Male
  • Plastic Surgery
  • PECOS Enrolled
  • Medicare Quality Reporting

About GEOFFREY DURHAM-SMITH

This page provides the complete NPI Profile along with additional information for Geoffrey Durham-smith, a provider established in Louisville, Kentucky with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1548314594 assigned on January 2007. The practitioner's primary taxonomy code is 208200000X with license number 27150 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1548314594
Provider Name
DR. GEOFFREY DURHAM-SMITH M.D.
Gender
Male
Entity Type
Individual
Location Address
4001 KRESGE WAY SUITE 320 LOUISVILLE, KY 40207
Location Phone
(502) 895-5850
Location Fax
(502) 895-1210
Mailing Address
4001 KRESGE WAY SUITE 320 LOUISVILLE, KY 40207
Mailing Phone
(502) 895-5850
Mailing Fax
(502) 895-1210
Is Sole Proprietor?
No
Enumeration Date
01-23-2007
Last Update Date
01-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
27150
License State
KY
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12082S0099XAllopathic & Osteopathic Physicians

Plastic Surgery
Plastic Surgery Within the Head and Neck

27150 (KY)
22082S0105XAllopathic & Osteopathic Physicians

Plastic Surgery
Surgery of the Hand

27150 (KY)
32086S0105XAllopathic & Osteopathic Physicians

Surgery
Surgery of the Hand

27150 (KY)
42086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

27150 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000048445OTHER (01)KYBLUE CROSS
1051841OTHER (01)KYPASSPORT
64271505MEDICAID (05)KY 
E88322MEDICARE UPIN (02)KY 
4212870OTHER (01)KYAETNA
1397708MEDICARE ID-TYPE UNSPECIFIED (04)KYMEDICARE

Medicare Participation & PECOS Enrollment Status

Geoffrey Durham-smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from medium joint

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

This service was performed 15 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 71 times for 59 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 45 times for 27 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 71 times for 43 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 17 times for 17 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 45 times for 45 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 14 times for 13 patients

X-ray of hand, 2 views

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40207 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.24
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $16.56
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 59% 123
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Reviews for DR. GEOFFREY DURHAM-SMITH M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548314594, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 6 + 1 + 8 + 5 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1548314594.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
4001 KRESGE WAY, STE 330
LOUISVILLE, KY 40207
Specialist
4001 KRESGE WAY, STE 324
LOUISVILLE, KY 40207
Specialist
4001 KRESGE WAY, STE 324
LOUISVILLE, KY 40207
Specialist
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Specialist
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Orthopaedic Surgery
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Surgery
4001 KRESGE WAY, SUITE 210
LOUISVILLE, KY 40207
Ophthalmology
4001 KRESGE WAY, STE. 200
LOUISVILLE, KY 40207
Specialist
4001 KRESGE WAY, 236
LOUISVILLE, KY 40207
Dermatology
4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207
Orthopaedic Surgery
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Physical Therapist
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Durable Medical Equipment & Medical Supplies
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Surgery (Plastic and Reconstructive Surgery)
4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207
Surgery (Plastic and Reconstructive Surgery)
4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207
Surgery (Plastic and Reconstructive Surgery)
4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207
Plastic Surgery
4001 KRESGE WAY, SUITE 320
LOUISVILLE, KY 40207
Plastic Surgery
4001 KRESGE WAY, SUITE 320
LOUISVILLE, KY 40207
Obstetrics & Gynecology (Gynecology)
4001 KRESGE WAY, SUITE 315
LOUISVILLE, KY 40207
Dentist
4001 KRESGE WAY, SUITE 140
LOUISVILLE, KY 40207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548314594, enumerated as an "individual" on January 23, 2007.

The provider is located at 4001 KRESGE WAY SUITE 320 LOUISVILLE, KY 40207 and the phone number is (502) 895-5850.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.