1. Home
  2. Directory
  3. Michigan
  4. Buchanan
  5. Physician Assistant
  6. NPI Profile

SUSAN JAYNE SMITH PA
NPI 1790932168
Physician Assistant in Buchanan, MI

Active since August 27, 2008PECOS Enrolled
97.36/100
CMS Quality Rating
1045 E FRONT ST, BUCHANAN, MI 49107(269) 695-5540(269) 695-0412 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Jayne Smith Pa NPPES

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

SUSAN JAYNE SMITH PA (NPI 1790932168) is an individual physician assistant in Buchanan, Michigan, licensed in Michigan (5601005372) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790932168
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN JAYNE SMITHCredential: PA
Location Address1045 E FRONT STBuchanan, MI 49107-8474
Mailing Address7020 S 500 WTopeka, IN 46571-9577 · (260) 593-2099 · Fax (269) 695-0412
Phone(269) 695-5540
Fax(269) 695-0412
Sole ProprietorNo
Enumeration DateAugust 27, 2008
✔ NPI 1790932168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005372
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1045 E FRONT ST, Buchanan, MI 49107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Jayne Smith Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49107 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

97.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims42 services$6.25 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$15.48 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 12

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

SOUTHWEST VISION CENTER INC.
Optometrist
1045 E FRONT ST, SUITE B4
BUCHANAN, MI 49107
Berrien County (269) 695-9011
MEGAN MCQUINN
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
OLIVIA COCHRAN NP
Nurse Practitioner (Family)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
ROY B PARKE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
MR. DEREK ALLEN HENDERSON PA
Physician Assistant
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
DR. AUDREY LYNN WEDDE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
CYNTHIA PAPENDICK APRN BC INC
Registered Nurse (Psychiatric/Mental Health)
1045 E FRONT ST, SUITE B2
BUCHANAN, MI 49107
Berrien County (269) 695-1113
JULIA KOSTYUK FNP-BC
Nurse Practitioner (Primary Care)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540

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 Susan Smith's NPI number?

The NPI number for Susan Smith is 1790932168. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Susan Smith located?

Susan Smith practices at 1045 E Front St, Buchanan, MI 49107. The listed phone number is (269) 695-5540.

What is Susan Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Smith enrolled in Medicare?

Yes. Susan Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Smith was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.