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MR. DOUGLAS MACARTHUR SMITH JR. APRN-CNP
NPI 1639314164
Nurse Practitioner - Adult Health in Columbus, OH

Active since December 12, 2008PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3196(614) 293-4812 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jul 28, 2023, Jan 12, 2021 (3 updates tracked since 2021).

About Mr. Douglas Macarthur Smith Jr. Aprn-cnp NPPES

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

MR. DOUGLAS MACARTHUR SMITH JR. APRN-CNP (NPI 1639314164) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.09750) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Chillicothe.

NPPES Registry Identity

NPI1639314164
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. DOUGLAS MACARTHUR SMITH JR.Credential: APRN-CNP
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3196 · Fax (614) 293-4812
Phone(614) 293-3196
Fax(614) 293-4812
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 12, 2008
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1639314164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in OH · APRN.CNP.09750✔ Licensed in OH · COA 09750 NP
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License COA-NS09649 (OH)
460 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Location 1

Location 14435 State Route 159Chillicothe, OH 45601-8620 · Phone (740) 542-3030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mr. Douglas Macarthur Smith Jr. Aprn-cnp 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 ID9234268145
PECOS Enrollment IDI20100602000053
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

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

CHIEMEZIE CHIANOTU AMADI MD
Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8315
DR. GEORGE K NIMAKO PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
ALBERT J. COOK MD
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-2957
WALTER G. HANEL IV MD, PHD
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
CHRISTINE HWANG PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
KEVIN C. FOY APRN-CNP, PHD
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
JACOB LYNN MD
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. MAXIMILLIAN HUGH STEVENSON PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4708

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1639314164. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Where is Douglas Smith located?

Douglas Smith practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3196.

What is Douglas Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Douglas Smith enrolled in Medicare?

Yes. Douglas 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 Douglas Smith accept?

Health plans from CareSource list Douglas 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 Douglas Smith affiliated with any hospitals?

According to CMS data, Douglas Smith is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on August 6, 2024. 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.