LARRY ALAN SMITH DPM
NPI 1609979822
Podiatrist in Santa Rosa, CA

Active since September 06, 2006PECOS Enrolled
1041 4TH ST, STE B, SANTA ROSA, CA 95404(707) 526-4777(707) 526-8809 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Alan Smith Dpm NPPES

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

LARRY ALAN SMITH DPM (NPI 1609979822) is an individual podiatrist in Santa Rosa, California, licensed in California (000E21510) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609979822
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameLARRY ALAN SMITHCredential: DPM
Location Address1041 4TH ST, STE BSanta Rosa, CA 95404
Mailing Address1041 4th St, Ste BSanta Rosa, CA 95404 · (707) 526-4777 · Fax (707) 526-8809
Fax(707) 526-8809
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 8, 2008
NPI 1609979822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · 000E21510
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1041 4TH ST, Santa Rosa, CA 95404

Other Identifiers 3

Medicaid7704019CA
Medicare NSC1609979822CA
Medicare UPINT11202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larry Alan Smith Dpm 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 95404 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 7

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

Podiatrist (Foot & Ankle Surgery)
1041 4TH ST, SUITE B
SANTA ROSA, CA 95404
Podiatrist
1041 4TH ST, SUITE B
SANTA ROSA, CA 95404
Podiatrist (Foot & Ankle Surgery)
1041 4TH ST, SUITE B
SANTA ROSA, CA 95404
Prosthetic/Orthotic Supplier
1041 4TH ST, STE B
SANTA ROSA, CA 95404
Prosthetic/Orthotic Supplier
1041 4TH ST
SANTA ROSA, CA 95404
Podiatrist (Foot & Ankle Surgery)
1041 4TH ST, STE B
SANTA ROSA, CA 95404
Podiatrist (Foot Surgery)
1041 4TH ST, SUITE B
SANTA ROSA, CA 95404

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 Larry Smith's NPI number?

The NPI number for Larry Smith is 1609979822. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Larry Smith located?

Larry Smith practices at 1041 4th St Ste B, Santa Rosa, CA 95404. The listed phone number is (707) 526-4777.

What is Larry Smith's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Larry Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Larry Smith was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.