PAUL E SMITH III DO
NPI 1649226895
Family Medicine in Jackson, KY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1550 HIGHWAY 15 S STE 200, JACKSON, KY 41339(606) 666-8404 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 16, 2017 (3 updates tracked since 2017).

About Paul E Smith Iii Do NPPES

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

PAUL E SMITH III DO (NPI 1649226895) is an individual family medicine provider in Jackson, Kentucky, licensed in Kentucky (03402) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Frankfort.

NPPES Registry Identity

NPI1649226895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL E SMITH IIICredential: DO
Location Address1550 HIGHWAY 15 S STE 200Jackson, KY 41339-0714
Mailing Address6 Fontaine BlvdWinchester, KY 40391-9216 · (231) 742-1213
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1991
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1649226895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 03402
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 03402 (KY)
1550 HIGHWAY 15 S STE 200, Jackson, KY 41339

Secondary Practice Location 1

Location 1624 Chamberlin AveFrankfort, KY 40601-4220 · Phone (502) 699-2267

Other Identifiers 3

Medicaid7100177400KY
Medicaid114947926MI
OtherPS012921MI · Blue Cross

Accepted 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

Paul E Smith Iii Do 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 ID3577468750
PECOS Enrollment IDI20031201000684, I20110930000372
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 9

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.
221 services209 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
71 services71 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
52 services52 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
49 services49 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.
38 services38 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
1550 HIGHWAY 15 S STE 200
JACKSON, KY 41339
Counselor
1550 HIGHWAY 15 S STE 200
JACKSON, KY 41339
Nurse Practitioner (Family)
1550 HIGHWAY 15 S STE 200
JACKSON, KY 41339

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 Paul Smith's NPI number?

The NPI number for Paul Smith is 1649226895. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Paul Smith located?

Paul Smith practices at 1550 Highway 15 S Ste 200, Jackson, KY 41339. The listed phone number is (606) 666-8404.

What is Paul Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Smith enrolled in Medicare?

Yes. Paul 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 Paul Smith accept?

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

According to CMS data, Paul Smith is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Paul Smith was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.