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JAMES W SMITH M.D.
NPI 1659317436
Surgery in Tahlequah, OK

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James W Smith M.d. NPPES

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

JAMES W SMITH M.D. (NPI 1659317436) is an individual surgery provider in Tahlequah, Oklahoma, licensed in Oklahoma (38879) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and maintains a secondary practice location in Salinas.

NPPES Registry Identity

NPI1659317436
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES W SMITHCredential: M.D.
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing AddressPo Box 3656Pinedale, CA 93650-3656 · (559) 436-0871 · Fax (559) 436-5221
Phone(918) 456-0641
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 21, 2006
Last NPPES UpdateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1659317436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OK · 38879✔ Licensed in CA · A49784
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.
1400 E DOWNING ST, Tahlequah, OK 74464
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Secondary Practice Location 1

Location 1236 San Jose StSalinas, CA 93901-3901 · Phone (831) 424-7389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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

James W Smith M.d. 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 ID3577534684
PECOS Enrollment IDI20200605000356
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.

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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
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.

NORTHEASTERN HEALTH SYSTEM
General Acute Care Hospital
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
MIDWEST HOSPITALISTS SERVICES PLLC
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
DR. THOMAS CHILTON FRUITS D.O.
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2406
STUART AUSTIN KOAKAI CANO DO
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
STEPHAN M YOST PA-C
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
TAHLEQUAH CITY HOSPITAL
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
SETH STEWART SCANTLING
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
ROSS P. TURNER D.O.
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641

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 James Smith's NPI number?

The NPI number for James Smith is 1659317436. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is James Smith located?

James Smith practices at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is James Smith's specialty?

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

Is James Smith enrolled in Medicare?

Yes. James 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 James Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list James 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 James Smith affiliated with any hospitals?

According to CMS data, James Smith is affiliated with Northeastern Health System.

When was this NPI record last updated?

The NPPES record for James Smith was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.