DR. GERALD WILLIAM SMETANA M.D.
NPI 1760416747
Internal Medicine in Boston, MA

Active since July 10, 2006PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-9600(617) 667-9620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald William Smetana M.d. NPPES

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

DR. GERALD WILLIAM SMETANA M.D. (NPI 1760416747) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (57009) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760416747
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GERALD WILLIAM SMETANACredential: M.D.
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 667-9699 · Fax (617) 667-9620
Fax(617) 667-9620
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760416747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 57009
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
330 BROOKLINE AVE, Boston, MA 02215

Other Identifiers 2

Medicaid3020282MA
Medicare UPINA59106

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 (PECOS)

Dr. Gerald William Smetana 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.

Areas of Expertise CMS Part B claims 8

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.

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.
99 services85 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.
58 services53 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.
48 services42 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.
31 services29 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
31 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
13 suppliers22 claims64 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers16 claims27 services$0.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier24 claims24 services$215.32 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.

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215

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 Gerald Smetana's NPI number?

The NPI number for Gerald Smetana is 1760416747. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Gerald Smetana located?

Gerald Smetana practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-9600.

What is Gerald Smetana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerald Smetana enrolled in Medicare?

Yes. Gerald Smetana is registered in the Medicare PECOS enrollment system.

What insurance does Gerald Smetana accept?

Health plans from Anthem Blue Cross and Blue Shield list Gerald Smetana 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 Gerald Smetana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.