DANIEL BURTION SMITH M.D.
NPI 1699779538
Family Medicine in Decatur, IL

Active since June 09, 2005PECOS Enrolled
94.61/100
CMS Quality Rating
4965 E LOST BRIDGE RD, DECATUR, IL 62521(217) 864-5531(217) 864-2449 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Burtion Smith M.d. NPPES

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

DANIEL BURTION SMITH M.D. (NPI 1699779538) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036070695) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699779538
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL BURTION SMITHCredential: M.D.
Location Address4965 E LOST BRIDGE RDDecatur, IL 62521-5139
Mailing Address1200 N State Highway 121Mt Zion, IL 62549-1224 · (217) 864-5531 · Fax (217) 864-2449
Fax(217) 864-2449
Sole ProprietorYes
Enumeration DateJune 9, 2005
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
NPI 1699779538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036070695
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.
4965 E LOST BRIDGE RD, Decatur, IL 62521

Other Identifiers 1

Medicaid0360706951IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel Burtion Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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 suppliers21 claims42 services$5.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$36.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$59.64 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers17 claims17 services$19.56 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$14.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers23 claims129 services$2.21 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner (Family)
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Physician Assistant
4965 E LOST BRIDGE RD
DECATUR, IL 62521

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 Daniel Smith's NPI number?

The NPI number for Daniel Smith is 1699779538. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Daniel Smith located?

Daniel Smith practices at 4965 E Lost Bridge Rd, Decatur, IL 62521. The listed phone number is (217) 864-5531.

What is Daniel Smith's specialty?

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

Is Daniel Smith enrolled in Medicare?

Yes. Daniel Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Smith was last updated on December 30, 2021. 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.