DOUGLAS S SMITH MD
NPI 1821020058
Pediatrics in Menomonee Falls, WI

Q: What is Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1821020058. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Douglas Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 07, 2006PECOS Enrolled

N84 W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051(262) 251-7500(262) 251-7128 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Nov 23, 2021 (2 updates tracked since 2021).

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About Douglas S Smith Md NPPES

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

DOUGLAS S SMITH MD (NPI 1821020058) is an individual pediatrics provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (27805) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821020058

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDOUGLAS S SMITHCredential: MD

Location AddressN84 W16889 MENOMONEE AVEMenomonee Falls, WI 53051

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 251-7500

Phone(262) 251-7500

Fax(262) 251-7128

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1821020058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 27805

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.

N84 W16889 MENOMONEE AVE, Menomonee Falls, WI 53051

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Other Identifiers 1

Medicaid30747600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.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)

Douglas S Smith Md 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 53051 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES

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

TORI L STEPHENS MD

Obstetrics & Gynecology

N84 W16889 MENOMONEE AVE
MENOMONEE FALLS, WI 53051

Waukesha County (262) 251-7500

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1821020058. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Douglas Smith located?

Douglas Smith practices at N84 W16889 Menomonee Ave, Menomonee Falls, WI 53051. The listed phone number is (262) 251-7500.

What is Douglas Smith's specialty?

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

Is Douglas Smith enrolled in Medicare?

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

What insurance does Douglas Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Douglas 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 Douglas Smith was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.