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DR. CANDICE K SMITH M.D.
NPI 1811184088
Pediatrics in Concord, CA

Active since October 01, 2007PECOS Enrolled
1699 BAYWOOD DR, CONCORD, CA 94521(925) 603-3432 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Candice K Smith M.d. NPPES

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

DR. CANDICE K SMITH M.D. (NPI 1811184088) is an individual pediatrics provider in Concord, California, licensed in California (A96386) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811184088
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CANDICE K SMITHCredential: M.D.
Location Address1699 BAYWOOD DRConcord, CA 94521-1252
Mailing Address1699 Baywood DrConcord, CA 94521-1252 · (925) 603-3432
Phone(925) 603-3432
Sole ProprietorNo
Enumeration DateOctober 1, 2007
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1811184088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A96386
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1699 BAYWOOD DR, Concord, CA 94521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, BridgeSpan Health Company and more.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. Candice K Smith 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.

Medicare Billing Reassignment

Medicare enrollment records show Candice Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Memorial Clinic
571 mi
Allergy
5296 S COMMERCE DR
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 270 clinicians in this Medicare group
NPI 1104356013 (801) 773-4840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94521 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Candice Smith's NPI number?

The NPI number for Candice Smith is 1811184088. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Candice Smith located?

Candice Smith practices at 1699 Baywood Dr, Concord, CA 94521. The listed phone number is (925) 603-3432.

What is Candice Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Candice Smith enrolled in Medicare?

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

Which organization bills Medicare for Candice Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Smith reassigns Medicare benefits to Tanner Memorial Clinic (Murray, UT). The 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 Candice Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Smith accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Candice 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 Candice Smith was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.