SHARON A SMAGA M.D.
NPI 1689650566
Family Medicine in Carbondale, IL

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901(618) 536-6621(618) 453-1102 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 28, 2020, Dec 7, 2020, Feb 14, 2020 and 1 more (4 updates tracked since 2018).

About Sharon A Smaga M.d. NPPES

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

SHARON A SMAGA M.D. (NPI 1689650566) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (036-067112) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Frankfort, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1982).

NPPES Registry Identity

NPI1689650566
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHARON A SMAGACredential: M.D.
Location Address305 W JACKSON ST, SUITE 200Carbondale, IL 62901-1474
Mailing Address300 W Oak StCarbondale, IL 62901-1400 · (618) 536-6621
Fax(618) 453-1102
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1982
Enumeration DateDecember 21, 2005
Last NPPES UpdateDecember 28, 20204 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1689650566 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 IL · 036-067112
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 · Geriatric MedicineTaxonomy 207QG0300X · License 036-067112 (IL)
305 W JACKSON ST, Carbondale, IL 62901

Secondary Practice Location 1

Location 12553 Ken Gray BlvdWest Frankfort, IL 62896-4174 · Phone (618) 932-3937 · Fax (618) 932-2734

Other Identifiers 1

Medicaid036067112IL

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

Sharon A Smaga 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 ID6103956461
PECOS Enrollment IDI20100611000868
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sharon Smaga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
405 W JACKSON
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Specialist/Technologist (Athletic Trainer)
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Specialist
305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901
Physician Assistant (Surgical)
305 W JACKSON ST, SUITE 105
CARBONDALE, IL 62901
Surgery
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Speech-Language Pathologist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901

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 Sharon Smaga's NPI number?

The NPI number for Sharon Smaga is 1689650566. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Sharon Smaga located?

Sharon Smaga practices at 305 W Jackson St Suite 200, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Sharon Smaga's specialty?

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

Is Sharon Smaga enrolled in Medicare?

Yes. Sharon Smaga 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 organizations bill Medicare for Sharon Smaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Smaga reassigns Medicare benefits to 3 organizations: Southern Illinois Hospital Services (Carbondale, IL), Board Of Trustees Of Southern Illinois University (Springfield, IL) and Siu Physicians & Surgeons, Inc (Springfield, IL). Each 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 Sharon Smaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Smaga accept?

Health plans from Ambetter Health list Sharon Smaga 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.

When was this NPI record last updated?

The NPPES record for Sharon Smaga was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.