LARRY ALAN SMITH DPM
NPI 1609979822
Podiatrist in Santa Rosa, CA
NPI Status: Active since September 06, 2006
Contact Information
1041 4TH ST
STE B
SANTA ROSA, CA
ZIP 95404
Phone: (707) 526-4777
Fax: (707) 526-8809
- Individual
- Male
- Podiatrist
- PECOS Enrolled
- Medicare Quality Reporting
About LARRY SMITH
This page provides the complete NPI Profile along with additional information for Larry Smith, a provider established in Santa Rosa, California with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1609979822 assigned on September 2006. The practitioner's primary taxonomy code is 213E00000X with license number 000E21510 (CA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1609979822
- Provider Name
- LARRY ALAN SMITH DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1041 4TH ST STE B SANTA ROSA, CA 95404
- Location Phone
- (707) 526-4777
- Location Fax
- (707) 526-8809
- Mailing Address
- 1041 4TH ST STE B SANTA ROSA, CA 95404
- Mailing Phone
- (707) 526-4777
- Mailing Fax
- (707) 526-8809
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2006
- Last Update Date
- 05-08-2008
- Code Navigator
A podiatrist like Larry Smith provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 000E21510
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7704019 | MEDICAID (05) | CA | |
| 1609979822 | MEDICARE NSC (07) | CA | |
| T11202 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Larry Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient home visit, typically 25 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Removal of fingernails or toenails, 6 or more nails
Removal of fingernails or toenails, 6 or more nails
Removal of noncancer thickened skin growth, 1 growth
Removal of noncancer thickened skin growth, 2-4 growths
Removal of noncancer thickened skin growth, 2-4 growths
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
This service was performed 39 times for 24 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 301 times for 187 patientsThis procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
This service was performed 241 times for 158 patientsThis procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
This service was performed 160 times for 58 patientsThis procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
This service was performed 16 times for 15 patientsThis procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
This service was performed 22 times for 18 patientsThis procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
This service was performed 31 times for 17 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95404 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.16
- Minimum New Patient Price $63.04
- Maximum New Patient Price $187.01
- Average New Patient Copayment $24.04
- Minimum New Patient Copayment $15.76
- Maximum New Patient Copayment $46.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.94
- Minimum Established Patient Price $21.02
- Maximum Established Patient Price $153.4
- Average Established Patient Copayment $19.48
- Minimum Established Patient Copayment $5.25
- Maximum Established Patient Copayment $38.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 7 | 9 | 8 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 7 | 18 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 7 + 1 + 8 + 8 + 4 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1609979822 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
DR. EMILIZA NGO TAN DPM
Podiatrist
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
NORTH BAY FOOT AND ANKLE CLINIC, INC
Podiatrist
(Foot & Ankle Surgery)
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC.
Podiatrist
(Foot Surgery)
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
DR. RACHEL ANN HOYAL DPM
Podiatrist
(Foot & Ankle Surgery)
1041 4TH ST
STE B
SANTA ROSA, CA
ZIP 95404
DR. RALPH P. HOYAL DPM
Podiatrist
1041 4TH ST
STE B
SANTA ROSA, CA
ZIP 95404
RALPH P. HOYAL, DPM
Prosthetic/Orthotic Supplier
1041 4TH ST
STE B
SANTA ROSA, CA
ZIP 95404
RACHEL HOYAL DPM INC A PROFESSIONAL CORPORATION
Podiatrist
(Foot & Ankle Surgery)
1041 4TH ST
STE B
SANTA ROSA, CA
ZIP 95404
SPECTRUM OF SANTA ROSA
Prosthetic/Orthotic Supplier
1041 4TH ST
SANTA ROSA, CA
ZIP 95404
DEHA KARAOGLAN DPM
Podiatrist
(Foot & Ankle Surgery)
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609979822, enumerated as an "individual" on September 06, 2006.
The provider is located at 1041 4TH ST STE B SANTA ROSA, CA 95404 and the phone number is (707) 526-4777.
Podiatrist with taxonomy code 213E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
