THOMAS EDWARD SMITH D.O.
NPI 1811289853
Surgery in Galion, OH

Active since May 10, 2011PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
269 PORTLAND WAY S, GALION, OH 44833(419) 462-3839(419) 462-3840 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2021, Aug 10, 2018, Mar 28, 2017 and 1 more (4 updates tracked since 2016).

About Thomas Edward Smith D.o. NPPES

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

THOMAS EDWARD SMITH D.O. (NPI 1811289853) is an individual surgery provider in Galion, Ohio, licensed in Ohio (34.014734) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Avita Ontario, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1811289853
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS EDWARD SMITHCredential: D.O.
Location Address269 PORTLAND WAY SGalion, OH 44833-2312
Mailing Address700 N Columbus StCrestline, OH 44827-1455
Fax(419) 462-3840
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateMay 10, 2011
Last NPPES UpdateJanuary 8, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
NPI 1811289853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 34.014734
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
269 PORTLAND WAY S, Galion, OH 44833

Other Identifiers 1

Medicaid0419497OH

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

Thomas Edward Smith D.o. 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 ID9537489596
PECOS Enrollment IDI20201006002191
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 2

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 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.
14 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

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.

Pediatrics
269 PORTLAND WAY S
GALION, OH 44833
Nurse Anesthetist, Certified Registered
269 PORTLAND WAY S
GALION, OH 44833
Physician Assistant
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner
269 PORTLAND WAY S
GALION, OH 44833

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 Thomas Smith's NPI number?

The NPI number for Thomas Smith is 1811289853. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Thomas Smith located?

Thomas Smith practices at 269 Portland Way S, Galion, OH 44833. The listed phone number is (419) 462-3839.

What is Thomas Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Smith enrolled in Medicare?

Yes. Thomas 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 Thomas Smith accept?

Health plans from Molina Healthcare and UnitedHealthcare list Thomas 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 Thomas Smith affiliated with any hospitals?

According to CMS data, Thomas Smith is affiliated with Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Smith was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.