1. Home
  2. Directory
  3. Tennessee
  4. Jonesborough
  5. Anesthesiology
  6. NPI Profile

CARL MICHAEL SMAGULA MD
NPI 1568414100
Anesthesiology in Jonesborough, TN

Active since May 16, 2006PECOS Enrolled
93.48/100
CMS Quality Rating
211 STEMWINDER LN, JONESBOROUGH, TN 37659(406) 750-7379 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2025, Sep 11, 2024 (2 updates tracked since 2024).

About Carl Michael Smagula Md NPPES

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

CARL MICHAEL SMAGULA MD (NPI 1568414100) is an individual anesthesiology provider in Jonesborough, Tennessee, licensed in Idaho (M7532) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1568414100
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCARL MICHAEL SMAGULACredential: MD
Location Address211 STEMWINDER LNJonesborough, TN 37659-5881
Mailing Address211 Stemwinder LnJonesborough, TN 37659-5881
Phone(406) 750-7379
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1568414100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in ID · M7532
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
211 STEMWINDER LN, Jonesborough, TN 37659
Open in Google Maps ↗

Secondary Practice Location 1

Location 1465 Flood RdGreat Falls, MT 59404-6403 · Phone (406) 761-0737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Michael Smagula Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carl Smagula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Billings Clinic
1,392 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

93.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.16
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 Carl Smagula's NPI number?

The NPI number for Carl Smagula is 1568414100. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Carl Smagula located?

Carl Smagula practices at 211 Stemwinder Ln, Jonesborough, TN 37659. The listed phone number is (406) 750-7379.

What is Carl Smagula's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Carl Smagula enrolled in Medicare?

Yes. Carl Smagula is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Smagula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Smagula reassigns Medicare benefits to Billings Clinic (Miles City, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Smagula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Smagula accept?

Health plans from Medica list Carl Smagula 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.

When was this NPI record last updated?

The NPPES record for Carl Smagula was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.