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ERIK CHARLES SMITH M.D.
NPI 1720499163
Emergency Medicine in Sheridan, WY

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
71.6/100
CMS Quality Rating
1401 W 5TH ST, SHERIDAN, WY 82801(307) 672-1100 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2021, Nov 29, 2017 (2 updates tracked since 2017).

About Erik Charles Smith M.d. NPPES

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

ERIK CHARLES SMITH M.D. (NPI 1720499163) is an individual emergency medicine provider in Sheridan, Wyoming, licensed in Wyoming (11108A) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hospital, and is a graduate of University Of Arizona College Of Medicine (2014).

NPPES Registry Identity

NPI1720499163
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameERIK CHARLES SMITHCredential: M.D.
Location Address1401 W 5TH STSheridan, WY 82801-2705
Mailing Address1401 W 5th StSheridan, WY 82801-2705
Phone(307) 672-1100
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1720499163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WY · 11108A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1401 W 5TH ST, Sheridan, WY 82801
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Other Identifiers 1

Medicaid146751400WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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

Erik Charles 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 ID5890098693
PECOS Enrollment IDI20170717003412
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
223 services214 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
170 services161 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
143 services138 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

71.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.8
Promoting Interoperability95
Improvement Activities40
Cost48.7

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 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 20

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

ROCKY MOUNTAIN HOLDINGS, LLC
Ambulance (Air Transport)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (888) 636-4438
GREGORY GERRITT MARINO DO
Internal Medicine (Hematology & Oncology)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-6022
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Psychiatric Unit
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
DR. KRISTEN LEANN SCHAEFER M.D.
Anesthesiology
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
DAVIS M SWAN MD
Anesthesiology
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-7874
LACI LITTLE N.P.
Nurse Practitioner (Family)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 675-5850
PATRICIA TOBI M.D.
Anesthesiology
1401 W 5TH ST, SHERIDAN MEMORIAL HOSPITAL
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Hospice Care, Community Based
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000

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 Erik Smith's NPI number?

The NPI number for Erik Smith is 1720499163. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Erik Smith located?

Erik Smith practices at 1401 W 5th St, Sheridan, WY 82801. The listed phone number is (307) 672-1100.

What is Erik Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Erik Smith enrolled in Medicare?

Yes. Erik 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 Erik Smith accept?

Health plans from Blue Cross Blue Shield of Wyoming list Erik 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 Erik Smith affiliated with any hospitals?

According to CMS data, Erik Smith is affiliated with Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Erik Smith was last updated on May 24, 2021. 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.