DR. DONALD SMITH JR. MD
NPI 1699718189
Emergency Medicine - Emergency Medical Services in Rochester, MI

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 652-5454(248) 601-6198 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Dr. Donald Smith Jr. Md NPPES

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

DR. DONALD SMITH JR. MD (NPI 1699718189) is an individual emergency medical services provider in Rochester, Michigan, licensed in Michigan (4301048619) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Rochester Hospital, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1699718189
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. DONALD SMITH JR.Credential: MD
Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863
Mailing Address1905 N Hammond Lake DrBloomfield Hills, MI 48302-0139
Fax(248) 601-6198
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1699718189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in MI · 4301048619
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 4301048619 (MI)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301048619 (MI)
1101 W UNIVERSITY DR, Rochester, MI 48307

Other Identifiers 3

Other11289144MI · Caqh
Medicaid104285016MI
OtherDS048619MI · Bc/bs

Accepted 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

Dr. Donald Smith Jr. Md 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 ID9537056205
PECOS Enrollment IDI20041130000397
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 5

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.
156 services57 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
132 services47 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.
78 services46 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
38 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

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.

Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Social Worker
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Internal Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Family Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307

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 Donald Smith's NPI number?

The NPI number for Donald Smith is 1699718189. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Donald Smith located?

Donald Smith practices at 1101 W University Dr, Rochester, MI 48307. The listed phone number is (248) 652-5454.

What is Donald Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Donald Smith enrolled in Medicare?

Yes. Donald 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 Donald Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Donald 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 Donald Smith affiliated with any hospitals?

According to CMS data, Donald Smith is affiliated with Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Donald Smith was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.