Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TANNER RAY SMITH DO
NPI 1548953318
Family Medicine in Nazareth, PA

Q: What is Tanner Smith's NPI number?

The NPI number for Tanner Smith is 1548953318. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Tanner Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanner Smith was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since May 30, 2023PECOS Enrolled

4059 JANDY BLVD STE 103, NAZARETH, PA 18064(484) 503-6450(833) 820-1004 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, May 30, 2023 (2 updates tracked since 2023).

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About Dr. Tanner Ray Smith Do NPPES

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

DR. TANNER RAY SMITH DO (NPI 1548953318) is an individual family medicine provider in Nazareth, Pennsylvania, licensed in Pennsylvania (OT022399) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1548953318

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TANNER RAY SMITHCredential: DO

Location Address4059 JANDY BLVD STE 103Nazareth, PA 18064-8819

Mailing Address4059 Jandy Blvd Ste 103Nazareth, PA 18064-8819 · (484) 503-6450 · Fax (833) 820-1004

Phone(484) 503-6450

Fax(833) 820-1004

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2023

Enumeration DateMay 30, 2023

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1548953318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OT022399

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.

4059 JANDY BLVD STE 103, Nazareth, PA 18064

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanner Ray Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193183416

PECOS Enrollment IDI20260603000963

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18064 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 3

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

RUTH ANN JOHNSON CRNP

Nurse Practitioner

4059 JANDY BLVD STE 103
NAZARETH, PA 18064

Northampton County (484) 503-6450

CHRISTOPHER MARK POGODZINSKI MD

Family Medicine

4059 JANDY BLVD STE 103
NAZARETH, PA 18064

Northampton County (484) 503-6450

CATHERINE SCHREI BROADT DO

Family Medicine

4059 JANDY BLVD STE 103
NAZARETH, PA 18064

Northampton County (610) 759-1200

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 Tanner Smith's NPI number?

The NPI number for Tanner Smith is 1548953318. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Tanner Smith located?

Tanner Smith practices at 4059 Jandy Blvd Ste 103, Nazareth, PA 18064. The listed phone number is (484) 503-6450.

What is Tanner Smith's specialty?

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

Is Tanner Smith enrolled in Medicare?

Yes. Tanner Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Smith was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.