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DR. JAMES R SMITH M.D.
NPI 1578645156
Obstetrics & Gynecology in Carmel, IN

Active since October 20, 2006PECOS Enrolled
80.17/100
CMS Quality Rating
11725 N ILLINOIS ST, STE 350, CARMEL, IN 46032(317) 688-5200(317) 688-5215 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James R Smith M.d. NPPES

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

DR. JAMES R SMITH M.D. (NPI 1578645156) is an individual obstetrics & gynecology provider in Carmel, Indiana, licensed in Indiana (01059536) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578645156
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES R SMITHCredential: M.D.
Location Address11725 N ILLINOIS ST, STE 350Carmel, IN 46032-3008
Mailing Address250 N Shadeland Ave, Ste 130 Provider EnrollmentIndianapolis, IN 46219-4959
Phone(317) 688-5200
Fax(317) 688-5215
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1578645156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01059536
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11725 N ILLINOIS ST, Carmel, IN 46032
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Other Identifiers 13

Medicaid200847330IN
Medicare PIN264430120IN
Other000023028MKY · Humana - Cma
Other0998852KY · Medicare - Ky
Other8153595KY · Cigna - Cma
Other9008078KY · Aetna - Cma
Medicare PINP01240475IN
Other2853693000KY · Passport - Advtg
Other50015452KY · Passport
OtherP00612412KY · Rr Mcr- Ky/cma
Other087582KY · Siho
Other196290VVVIN · Medicare - In
Other000000520163KY · Anthem - Cma

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. James R Smith M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

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

JENNIFER LYNN VERBRUGGE M.S.
Genetic Counselor, MS
11725 N ILLINOIS ST
CARMEL, IN 46032
Hamilton County (317) 688-2727
DR. KENNETH K MOGHADAM M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
11725 N ILLINOIS ST, SUITE 515
CARMEL, IN 46032
Hamilton County (317) 814-4110
INDIANAPOLIS NEUROSURGICAL GROUP
Neurological Surgery
11725 N ILLINOIS ST, SUITE 275
CARMEL, IN 46032
Hamilton County (317) 688-2045
ORTHOPAEDICS-INDIANAPOLIS, INC.
Orthopaedic Surgery
11725 N ILLINOIS ST, SUITE 215
CARMEL, IN 46032
Hamilton County (317) 802-2000
CACIOPPO PLASTIC SURGERY, LLC
Plastic Surgery
11725 N ILLINOIS ST, SUITE 245
CARMEL, IN 46032
Hamilton County (317) 600-8950
MRS. SARAH ELIZABETH CARNEY MED FAAA
Audiologist
11725 N ILLINOIS ST, STE 445
CARMEL, IN 46032
Hamilton County (317) 844-7059
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Internal Medicine (Hematology & Oncology)
11725 N ILLINOIS ST, SUITE, LL050
CARMEL, IN 46032
Hamilton County (317) 688-5656
RANDALL J. FRANIAK, M.D.
Anesthesiology (Pain Medicine)
11725 N ILLINOIS ST, STE. 447
CARMEL, IN 46032
Hamilton County (317) 688-2000

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 James Smith's NPI number?

The NPI number for James Smith is 1578645156. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is James Smith located?

James Smith practices at 11725 N Illinois St Ste 350, Carmel, IN 46032. The listed phone number is (317) 688-5200.

What is James Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Smith was last updated on February 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.