JAMES DONALD SMITH
NPI 1750878948
Family Medicine - Sports Medicine in Saint Paul, MN

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
580 RICE ST, SAINT PAUL, MN 55103(651) 227-6551 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Oct 20, 2020, Aug 15, 2019 and 1 more (4 updates tracked since 2018).

About James Donald Smith NPPES

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

JAMES DONALD SMITH (NPI 1750878948) is an individual sports medicine provider in Saint Paul, Minnesota, licensed in Minnesota (66008) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750878948
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJAMES DONALD SMITH
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateApril 13, 2018
Last NPPES UpdateJuly 30, 20254 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1750878948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MN · 66008
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 66008 (MN)
580 RICE ST, Saint Paul, MN 55103

Secondary Practice Locations 3

Location 13930 Northwoods DrArden Hills, MN 55112-6963 · Phone (651) 523-8500 · Fax (651) 523-8584
Location 21020 W Broadway AveMinneapolis, MN 55411-2504 · Phone (612) 302-8200
Location 39825 Hospital Dr Ste 300Maple Grove, MN 55369-4768 · Phone (763) 587-7900 · Fax (763) 494-7501

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

James Donald Smith 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 ID5496005316
PECOS Enrollment IDI20190923001469
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services28 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
48 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services33 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.
33 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
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.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55103 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.

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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

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
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103

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 James Smith's NPI number?

The NPI number for James Smith is 1750878948. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is James Smith located?

James Smith practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 227-6551.

What is James Smith's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is James Smith enrolled in Medicare?

Yes. James 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 James Smith accept?

Health plans from Medica and Sanford Health Plan list James 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 James Smith affiliated with any hospitals?

According to CMS data, James Smith is affiliated with M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for James Smith was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.