JAMES W SMITH M.D.
NPI 1659317436
Surgery in Tahlequah, OK
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show James Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 159 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
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.
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, OKPhysician 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.
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.
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.
TAHLEQUAH, OK 74464
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.
Which organization bills Medicare for James Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Smith reassigns Medicare benefits to Northeastern Health System (Tahlequah, OK). 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 James Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Smith accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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.
# James W Smith, M.D. · NPI 1659317436
Surgery physician in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1659317436 (Entity type: Individual)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 38879 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 E DOWNING ST, Tahlequah, OK 74464-3324
- **Phone:** (918) 456-0641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeastern Health System (NPI 1003865999, Tahlequah, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659317436) · Data from the CMS NPPES public registry.