DR. DOUGLAS CRAIG SMITH MD
NPI 1598717217
Family Medicine in Raton, NM

Active since May 17, 2006PECOS Enrolled
65.06/100
CMS Quality Rating
203 HOSPITAL DR, RATON, NM 87740(575) 445-3661(575) 445-7737 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Craig Smith Md NPPES

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

DR. DOUGLAS CRAIG SMITH MD (NPI 1598717217) is an individual family medicine provider in Raton, New Mexico, licensed in Texas (G8423) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598717217
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS CRAIG SMITHCredential: MD
Location Address203 HOSPITAL DRRaton, NM 87740-2012
Mailing Address203 Hospital DrRaton, NM 87740-2012 · (575) 445-3661 · Fax (575) 445-7737
Fax(575) 445-7737
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1598717217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · G8423
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.
203 HOSPITAL DR, Raton, NM 87740

Other Identifiers 1

Medicaid1J7795NM

Accepted Insurance

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. Douglas Craig Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87740 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

65.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality34.15
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$20.43 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$873.79 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers25 claims25 services$50.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers69 claims69 services$114.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
203 HOSPITAL DR
RATON, NM 87740
Community Health Worker
203 HOSPITAL DR
RATON, NM 87740
Surgery
203 HOSPITAL DR
RATON, NM 87740
General Acute Care Hospital (Critical Access)
203 HOSPITAL DR
RATON, NM 87740
Clinic/Center (Rural Health)
203 HOSPITAL DR
RATON, NM 87740
Obstetrics & Gynecology
203 HOSPITAL DR
RATON, NM 87740
Internal Medicine (Hematology & Oncology)
203 HOSPITAL DR
RATON, NM 87740
Internal Medicine
203 HOSPITAL DR
RATON, NM 87740

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1598717217. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Douglas Smith located?

Douglas Smith practices at 203 Hospital Dr, Raton, NM 87740. The listed phone number is (575) 445-3661.

What is Douglas Smith's specialty?

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

Is Douglas Smith enrolled in Medicare?

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

What insurance does Douglas Smith accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on May 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.