DAVID SMITH M.D.
NPI 1720016124
Pediatrics in Sartell, MN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
111 2ND ST S, SARTELL, MN 56377(320) 281-3339(320) 251-6942 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Smith M.d. NPPES

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

DAVID SMITH M.D. (NPI 1720016124) is an individual pediatrics provider in Sartell, Minnesota, licensed in Minnesota (47571) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2002).

NPPES Registry Identity

NPI1720016124
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID SMITHCredential: M.D.
Location Address111 2ND ST SSartell, MN 56377-1917
Mailing Address111 2nd St SSartell, MN 56377-1917 · (320) 281-3339
Fax(320) 251-6942
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2002
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1720016124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 47571
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

111 2ND ST S, Sartell, MN 56377

Other Identifiers 1

Medicaid173436900MN

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

David 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 ID42256588
PECOS Enrollment IDI20050706000512
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 56377 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 12

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

Pediatrics
111 2ND ST S
SARTELL, MN 56377
Pediatrics
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377
Occupational Therapist
111 2ND ST S
SARTELL, MN 56377
Speech-Language Pathologist
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377

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 David Smith's NPI number?

The NPI number for David Smith is 1720016124. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is David Smith located?

David Smith practices at 111 2nd St S, Sartell, MN 56377. The listed phone number is (320) 281-3339.

What is David Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Smith enrolled in Medicare?

Yes. David 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 David Smith accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list David 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.

When was this NPI record last updated?

The NPPES record for David Smith was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.