DR. MARK WILLIAM SMITH MD
NPI 1750484879
Family Medicine in Charlevoix, MI
About Dr. Mark William Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK WILLIAM SMITH MD (NPI 1750484879) is an individual family medicine provider in Charlevoix, Michigan, licensed in Michigan (4301076489) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark William Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mark Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Cheboygan, MI 49721
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1659536035 (Michigan)
- 60 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLEVOIX, MI 49720
CHARLEVOIX, MI 49720
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 Mark Smith's NPI number?
The NPI number for Mark Smith is 1750484879. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is Mark Smith located?
Mark Smith practices at 14734 Park Ave, Charlevoix, MI 49720. The listed phone number is (231) 547-6554.
What is Mark Smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Smith enrolled in Medicare?
Yes. Mark Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mark Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Smith reassigns Medicare benefits to 2 organizations: Northwestern Michigan Emergency Physicians PC (Traverse City, MI) and Mackinac Straits Health System Inc (Cheboygan, MI). 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 Mark Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Smith accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark 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 Mark Smith was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Mark William Smith, MD · NPI 1750484879
Family Medicine physician in Charlevoix, Michigan. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1750484879 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301076489 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14734 PARK AVE, Charlevoix, MI 49720-1927
- **Phone:** (231) 547-6554 · **Fax:** (231) 547-1179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwestern Michigan Emergency Physicians PC (NPI 1073597944, Traverse City, MI); Mackinac Straits Health System Inc (NPI 1659868206, Cheboygan, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2014
- **Other identifiers:** Medicaid 8002922550 (MI); Medicare UPIN H76753 (MI); Medicare PIN 8662347331 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1750484879) · Data from the CMS NPPES public registry.