DR. CHARLES L SMITH MD
NPI 1609335751
Family Medicine - Sleep Medicine in Macon, GA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
275 SHERATON BLVD, MACON, GA 31210(478) 745-5779 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, May 2, 2022, Aug 13, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Charles L Smith Md NPPES

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

DR. CHARLES L SMITH MD (NPI 1609335751) is an individual sleep medicine provider in Macon, Georgia, licensed in Georgia (96776) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2015).

NPPES Registry Identity

NPI1609335751
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameDR. CHARLES L SMITHCredential: MD
Location Address275 SHERATON BLVDMacon, GA 31210-1359
Mailing Address275 Sheraton BlvdMacon, GA 31210-1359
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2015
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1609335751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License Licensed in GA · 96776
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11839039-1205 (UT)
275 SHERATON BLVD, Macon, GA 31210

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 and accepts Medicare assignment

Dr. Charles L Smith Md 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 ID1951727049
PECOS Enrollment IDI20230929003151
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services144 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
106 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services65 patients

Hospital Affiliations CMS Care Compare

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.02
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
275 SHERATON BLVD
MACON, GA 31210
Physician Assistant
275 SHERATON BLVD
MACON, GA 31210
Nurse Practitioner (Family)
275 SHERATON BLVD
MACON, GA 31210
Nurse Practitioner
275 SHERATON BLVD
MACON, GA 31210
Durable Medical Equipment & Medical Supplies
275 SHERATON BLVD, SUITE 200
MACON, GA 31210

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 Charles Smith's NPI number?

The NPI number for Charles Smith is 1609335751. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Charles Smith located?

Charles Smith practices at 275 Sheraton Blvd, Macon, GA 31210. The listed phone number is (478) 745-5779.

What is Charles Smith's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Charles Smith enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Smith accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Charles 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 Charles Smith affiliated with any hospitals?

According to CMS data, Charles Smith is affiliated with Upson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.