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GARY J SMITH M.D.
NPI 1659375228
Family Medicine in Nashville, TN

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
69.87/100
CMS Quality Rating
7640 HIGHWAY 70 S, STE 201, NASHVILLE, TN 37221(615) 646-8098(615) 646-8557 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary J Smith M.d. NPPES

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

GARY J SMITH M.D. (NPI 1659375228) is an individual family medicine provider in Nashville, Tennessee, licensed in Tennessee (MD019182) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1984).

NPPES Registry Identity

NPI1659375228
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY J SMITHCredential: M.D.
Location Address7640 HIGHWAY 70 S, STE 201Nashville, TN 37221-1758
Mailing Address7640 Highway 70 S, Ste 201Nashville, TN 37221-1758 · (615) 646-8098 · Fax (615) 646-8557
Phone(615) 646-8098
Fax(615) 646-8557
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1984
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 3, 2010
✔ NPI 1659375228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD019182
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.
7640 HIGHWAY 70 S, Nashville, TN 37221
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Other Identifiers 1

Medicare UPIND93150TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Gary J 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 ID648465518
PECOS Enrollment IDI20101117000971
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.
391 services198 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
262 services196 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
115 services115 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.
80 services59 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
66 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services52 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37221 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

69.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.26
Promoting Interoperability100
Improvement Activities40
Cost26.31

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%35 patients
Breast Cancer Screening
37%696 patients2/55-star benchmark: 93%
Cervical Cancer Screening
4%1,063 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
44%90 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
16%1,850 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
67%1,058 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
1%352 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%352 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%6,465 patients4/55-star benchmark: 100%
e-Prescribing
100%4,011 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%850 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%3,350 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,950 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%4,033 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 41% · 2,437 patients
Patients screened: 44% · 2,437 patients
14%105 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%2,403 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%590 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 822 patients
Patients totalRate: 15% · 917 patients
18%917 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims47 services$5.22 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims190 services$4.74 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims190 services$3.45 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430
DME-Orthotic Devices · category DF010N
1 supplier11 claims190 services$8.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims11 services$27.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims22 services$1.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PAMELA NICOLE HYSINGER PT
Physical Therapist
7640 HIGHWAY 70 S, SUITE 210
NASHVILLE, TN 37221
Davidson County (615) 673-1420
DR. DIANE M VOSBERG M.D.
Pediatrics
7640 HIGHWAY 70 S
NASHVILLE, TN 37221
Davidson County (615) 352-2995
HEARING SERVICES OF TENNESSEE, INC.
Audiologist
7640 HIGHWAY 70 S, SUITE 207
NASHVILLE, TN 37221
Davidson County (615) 673-6100
MR. RONALD EDWARD RITCHIE PT
Physical Therapist (Orthopedic)
7640 HIGHWAY 70 S, SUITE 104
NASHVILLE, TN 37221
Davidson County (615) 673-0708
STACEY APPLE ROSS DPT
Physical Therapist
7640 HIGHWAY 70 S, SUITE 210
NASHVILLE, TN 37221
Davidson County (615) 673-1420
SARAH ROBINSON AU.D.
Audiologist
7640 HIGHWAY 70 S, SUITE 207
NASHVILLE, TN 37221
Davidson County (615) 673-6103
MS. MICHELLE PHILLIPS LCSW
Social Worker (Clinical)
7640 HIGHWAY 70 S, SUITE 209
NASHVILLE, TN 37221
Davidson County (615) 646-1141
JOHN STEPHEN RICH JR. M.D.
Psychiatry & Neurology (Psychiatry)
7640 HIGHWAY 70 S, SUITE 110
NASHVILLE, TN 37221
Davidson County (629) 255-2503

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 Gary Smith's NPI number?

The NPI number for Gary Smith is 1659375228. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Gary Smith located?

Gary Smith practices at 7640 Highway 70 S Ste 201, Nashville, TN 37221. The listed phone number is (615) 646-8098.

What is Gary Smith's specialty?

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

Is Gary Smith enrolled in Medicare?

Yes. Gary 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 Gary Smith accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Gary 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 Gary Smith affiliated with any hospitals?

According to CMS data, Gary Smith is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Gary Smith was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.