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MS. ALISON L SMITH M.D., MPH
NPI 1598004087
Emergency Medicine in Salt Lake City, UT

Active since February 04, 2013PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
764 E HAWTHORNE AVE, SALT LAKE CITY, UT 84102(404) 788-2535 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2021, Apr 1, 2020, Aug 14, 2018 and 4 more (7 updates tracked since 2017).

About Ms. Alison L Smith M.d., Mph NPPES

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

MS. ALISON L SMITH M.D., MPH (NPI 1598004087) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (9550428-1205) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and is a graduate of Mercer University School Of Medicine (2014).

NPPES Registry Identity

NPI1598004087
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMS. ALISON L SMITHCredential: M.D., MPH
Location Address764 E HAWTHORNE AVESalt Lake City, UT 84102
Mailing Address764 E Hawthorne AveSalt Lake City, UT 84102-2925 · (404) 788-2535
Phone(404) 788-2535
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2014
Enumeration DateFebruary 4, 2013
Last NPPES UpdateNovember 12, 20217 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1598004087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in UT · 9550428-1205✔ Licensed in MO · 2019045762✔ Licensed in NM · MD2017-0785
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
764 E HAWTHORNE AVE, Salt Lake City, UT 84102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Alison L Smith M.d., Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335442375
PECOS Enrollment IDI20170901003197
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 Reassignments

4

Medicare enrollment records show Alison Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
0.2 mi
Clinical Medical Laboratory
389 S 900 E
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1457481939 (385) 282-2375
Emergency Physicians Integrated Care, LLC
0.9 mi
Emergency Medicine
1050 E SOUTH TEMPLE
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 316 clinicians in this Medicare group
NPI 1578598199 (801) 350-4111
University Of Utah Adult Services
1.6 mi
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1164826665 (801) 587-6336
Utah Valley Emergency Physicians Inc
37 mi
Emergency Medicine
1034 NORTH 500 WEST, ER DEPARTMENT
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 59 clinicians in this Medicare group
NPI 1649204553 (877) 346-2211

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital - Salt Lake

Acute Care Hospitals · Salt Lake City, UT
2/5 CMS rating
OwnershipProprietary
CMS Certification Number460003
Location1050 East South TempleSalt Lake City, UT 84102 · Salt Lake County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
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 Alison Smith's NPI number?

The NPI number for Alison Smith is 1598004087. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Alison Smith located?

Alison Smith practices at 764 E Hawthorne Ave, Salt Lake City, UT 84102. The listed phone number is (404) 788-2535.

What is Alison Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Alison Smith enrolled in Medicare?

Yes. Alison Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alison Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Smith reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Salt Lake City, UT), Emergency Physicians Integrated Care, LLC (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT) and Utah Valley Emergency Physicians Inc (Provo, UT). Each 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 Alison Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Smith accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Select Health list Alison Smith 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.

Is Alison Smith affiliated with any hospitals?

According to CMS data, Alison Smith is affiliated with Holy Cross Hospital - Salt Lake and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Alison Smith was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.