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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOSH A SMITH D.O.
NPI 1639127368
Surgery in Carroll, IA

Active since May 05, 2006PECOS Enrolled
311 S CLARK ST, SUITE 280, CARROLL, IA 51401(712) 792-0480(712) 792-1318 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Josh A Smith D.o. NPPES

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

JOSH A SMITH D.O. (NPI 1639127368) is an individual surgery provider in Carroll, Iowa, licensed in Iowa (02944) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Manning Regional Healthcare Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1639127368
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOSH A SMITHCredential: D.O.
Location Address311 S CLARK ST, SUITE 280Carroll, IA 51401-3038
Mailing Address311 S Clark St, Suite 280Carroll, IA 51401-3038 · (712) 792-0480 · Fax (712) 792-1318
Phone(712) 792-0480
Fax(712) 792-1318
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639127368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IA · 02944
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
311 S CLARK ST, Carroll, IA 51401
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Other Identifiers 1

Medicaid5142430IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Josh A Smith D.o. 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 ID7618968421
PECOS Enrollment IDI20060208000859
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 5

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.
19 services13 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
15 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
15 services15 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
13 services13 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.
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.

Manning Regional Healthcare Center

Critical Access Hospitals · Manning, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161332
Location1550 Sixth StreetManning, IA 51455 · Carroll County

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161350
Location1301 West Main StreetLake City, IA 51449 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
4%216 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
48%481 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,845 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%654 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%104 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%1,381 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%984 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%945 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 250 patients
Patients tobacco: 98% · 250 patients
93%61 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%984 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%984 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 286 patients
0%286 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%984 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

OMAHA VAMC
Clinic/Center (VA)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (913) 578-4409
BURTIK DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 794-5278
ZAK JARED HINZMANN
Nurse Anesthetist, Certified Registered
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
RITA M BURLEY L.I.S.W.
Social Worker (Clinical)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
MIKALA ANNE LANDON ARNP
Nurse Practitioner (Psychiatric/Mental Health)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
WESTERN IOWA SURGERY INC
Surgery
311 S CLARK ST, SUITE 280
CARROLL, IA 51401
Carroll County (712) 792-0480
JOHN M LONGO MD
Radiology (Radiation Oncology)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-8265
MICHELLE J SCRANTON MS,RD,LD
Dietitian, Registered
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581

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 Josh Smith's NPI number?

The NPI number for Josh Smith is 1639127368. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Josh Smith located?

Josh Smith practices at 311 S Clark St Suite 280, Carroll, IA 51401. The listed phone number is (712) 792-0480.

What is Josh Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Josh Smith enrolled in Medicare?

Yes. Josh 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 Josh Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Josh 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 Josh Smith affiliated with any hospitals?

According to CMS data, Josh Smith is affiliated with Manning Regional Healthcare Center and Stewart Memorial Community Hospital.

When was this NPI record last updated?

The NPPES record for Josh Smith was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.