DEREK W SMITH MD
NPI 1639279912
Hospitalist in Glens Falls, NY

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801(518) 926-5918(518) 926-5917 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Derek W Smith Md NPPES

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

DEREK W SMITH MD (NPI 1639279912) is an individual hospitalist provider in Glens Falls, New York, licensed in New York (259419) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2001).

NPPES Registry Identity

NPI1639279912
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDEREK W SMITHCredential: MD
Location Address100 PARK ST, GLENS FALLS HOSPITALGlens Falls, NY 12801-4413
Mailing AddressPo Box 304Glens Falls, NY 12801-0304 · (518) 926-5918 · Fax (518) 926-5917
Fax(518) 926-5917
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2001
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJune 5, 2012
✔ NPI 1639279912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 259419
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
100 PARK ST, Glens Falls, NY 12801

Other Identifiers 3

Medicare UPINI42860OH
Medicare PINJ400054711NY
Medicaid03391173NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek W 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 ID5294750733
PECOS Enrollment IDI20110921000021
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.

Medicare Billing Reassignment

Medicare enrollment records show Derek Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
959 STATE ROUTE 9 STE O
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

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.

Dietitian, Registered
100 PARK ST
GLENS FALLS, NY 12801
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Radiology (Radiation Oncology)
100 PARK ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Anesthesiology
100 PARK ST, GLENS FALLS HOSPITAL - DEPT OF ANESTHESIA
GLENS FALLS, NY 12801
Physician Assistant
100 PARK ST
GLENS FALLS, NY 12801

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 Derek Smith's NPI number?

The NPI number for Derek Smith is 1639279912. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Derek Smith located?

Derek Smith practices at 100 Park St Glens Falls Hospital, Glens Falls, NY 12801. The listed phone number is (518) 926-5918.

What is Derek Smith's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Smith enrolled in Medicare?

Yes. Derek 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.

Which organization bills Medicare for Derek Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Smith reassigns Medicare benefits to Saratoga Hospital (Queensbury, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Derek Smith affiliated with any hospitals?

According to CMS data, Derek Smith is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Derek Smith was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.