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CLAUDIA D SMITH NP
NPI 1780734632
Nurse Practitioner in Sonora, CA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
20044 CEDAR RD N, MLMC, SONORA, CA 95370(209) 694-2600 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claudia D Smith Np NPPES

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

CLAUDIA D SMITH NP (NPI 1780734632) is an individual nurse practitioner in Sonora, California, licensed in California (7824) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1780734632
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCLAUDIA D SMITHCredential: NP
Location Address20044 CEDAR RD N, MLMCSonora, CA 95370-5900
Mailing Address20044 Cedar Rd N, MlmcSonora, CA 95370-5900 · (209) 694-2600
Phone(209) 694-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1780734632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 7824
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 241566 (CA)
20044 CEDAR RD N, Sonora, CA 95370
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Other Identifiers 1

Medicare UPINQ62480CA

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

Claudia D Smith Np 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 ID1052325875
PECOS Enrollment IDI20060201000275
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 7

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.
548 services242 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.
129 services107 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
14 services14 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers23 claims54 services$6.21 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 5

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

COUNTY OF TUOLUMNE
General Acute Care Hospital
20044 CEDAR RD N, TGH ME GRP - MLMC
SONORA, CA 95370
Tuolumne County (209) 694-2600
COUNTY OF TUOLUMNE
General Acute Care Hospital
20044 CEDAR RD N, TGH ML GRP - MLMC
SONORA, CA 95370
Tuolumne County (209) 533-7100
COUNTY OF TUOLUMNE
General Acute Care Hospital
20044 CEDAR RD N, TGH BS GRP - MLMC
SONORA, CA 95370
Tuolumne County (209) 533-7260
STEVEN A SMITH M.D.
Family Medicine
20044 CEDAR RD N, MOTHER LODE MEDICAL CLINIC
SONORA, CA 95370
Tuolumne County (209) 694-2600
CHRISTOPHER MILLS MD
Obstetrics & Gynecology
20044 CEDAR RD N, SUITE A
SONORA, CA 95370
Tuolumne County (209) 536-3750

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 Claudia Smith's NPI number?

The NPI number for Claudia Smith is 1780734632. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Claudia Smith located?

Claudia Smith practices at 20044 Cedar Rd N Mlmc, Sonora, CA 95370. The listed phone number is (209) 694-2600.

What is Claudia Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Claudia Smith enrolled in Medicare?

Yes. Claudia 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.

When was this NPI record last updated?

The NPPES record for Claudia Smith was last updated on September 30, 2013. 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.