JOHN R SMITHSON JR. MD
NPI 1669465811
Neurological Surgery in Grove, OK
NPI Status: Active since August 23, 2005
Contact Information
1120 NEO LOOP
GROVE, OK
ZIP 74344
Phone: (918) 786-9568
Fax: (918) 293-3116
- Individual
- Male
- Years of Experience 50
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JOHN SMITHSON
This page provides the complete NPI Profile along with additional information for John Smithson, a provider established in Grove, Oklahoma with a medical specialization in Neurological Surgery and more than 50 years of experience. He graduated from University Of Oklahoma College Of Medicine in 1976. The healthcare provider is registered in the NPI registry with number 1669465811 assigned on August 2005. The practitioner's primary taxonomy code is 207T00000X with license number 11399 (OK). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1669465811
- Provider Name
- JOHN R SMITHSON JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 NEO LOOP GROVE, OK 74344
- Location Phone
- (918) 786-9568
- Location Fax
- (918) 293-3116
- Mailing Address
- 1120 NEO LOOP GROVE, OK 74344
- Mailing Phone
- (918) 786-9568
- Mailing Fax
- (918) 293-3116
- Medical School Name
- UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
- Graduation Year
- 1976
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2005
- Last Update Date
- 11-07-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 11399
- License State
- OK
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D42842 | MEDICARE UPIN (02) | OK | |
| 248719110 | MEDICARE PIN (08) | OK | |
| 100088280A | MEDICAID (05) | OK |
Medicare Participation & PECOS Enrollment Status
John Smithson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
John Smithson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2961311741
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20201202002531
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
Needle measurement of electrical activity in arm or leg muscles, 2 extremities
Needle measurement of electrical activity in arm or leg muscles, limited study
Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study
Needle measurement of electrical activity in middle spine muscles
Needle measurement of electrical activity in muscles on both sides of body
Placement of skin electrodes and measurement of central motor stimulation in arms and legs
Placement of skin electrodes and measurement of stimulated sites in trunk or head
Placement of skin electrodes and measurement of stimulated sites on arms and legs
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
This service was performed 731 times for 124 patientsThis procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.
This service was performed 36 times for 36 patientsThis procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
This service was performed 38 times for 19 patientsThis procedure, known as an electromyography (EMG), involves using a needle to measure electrical activity in your muscles. It can help diagnose conditions affecting nerves or muscles. It's a limited study, meaning only specific muscles in the arm, leg, trunk, or head are examined.
This service was performed 137 times for 68 patientsThis procedure involves placing a tiny needle into the muscles around the middle of your spine. The needle measures the electrical activity in these muscles, helping to diagnose conditions that may affect muscle function. This is a safe, minimally invasive procedure.
This service was performed 17 times for 17 patientsThis procedure, known as electromyography, involves inserting tiny needles into muscles to measure their electrical activity. It helps identify muscle or nerve disorders. It's performed on both sides of the body for comparison. It's generally safe and may cause minimal discomfort.
This service was performed 25 times for 25 patientsThis procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.
This service was performed 36 times for 36 patientsThis procedure involves placing small, sticky patches (electrodes) on the skin of your head or trunk. These electrodes measure responses from specific areas when a mild electrical stimulation is applied. It helps in diagnosing various nerve and muscle conditions.
This service was performed 37 times for 37 patientsThis procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
This service was performed 117 times for 116 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.76 for a new patient copayment and $16.62 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 74344 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.06
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $30.76
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Smithson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HILLCREST MEDICAL CENTER | 1120 SOUTH UTICA AVENUE TULSA, OK 74104 | (918) 579-1000 | Acute Care Hospitals | |
| ASCENSION ST JOHN JANE PHILLIPS | 3500 EAST FRANK PHILLIPS BOULEVARD BARTLESVILLE, OK 74006 | (918) 333-7200 | Acute Care Hospitals | |
| ASCENSION ST JOHN MEDICAL CENTER | 1923 SOUTH UTICA AVENUE TULSA, OK 74104 | (918) 744-3131 | Acute Care Hospitals | |
| ASCENSION ST JOHN BROKEN ARROW | 1000 WEST BOISE CIRCLE BROKEN ARROW, OK 74012 | (918) 994-8100 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669465811, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669465811, enumerated as an "individual" on August 23, 2005.
The provider is located at 1120 NEO LOOP GROVE, OK 74344 and the phone number is (918) 786-9568.
Neurological Surgery with taxonomy code 207T00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.
John Smithson is affiliated with: HILLCREST MEDICAL CENTER, ASCENSION ST JOHN JANE PHILLIPS, ASCENSION ST JOHN MEDICAL CENTER and ASCENSION ST JOHN BROKEN ARROW.
