MICHAEL J SMITH M.D.
NPI 1861491599
Emergency Medicine - Emergency Medical Services in Urbana, IL

NPI Status: Active since July 15, 2005

Contact Information

611 W PARK ST
EMERGENCY MED.
URBANA, IL
ZIP 61801
Phone: (217) 383-3313
Fax: (217) 383-4014

Get Directions Write a Review

  • Individual
  • Male
  • Emergency Medicine
  • Emergency Medical Services
  • PECOS Enrolled

About MICHAEL SMITH

This page provides the complete NPI Profile along with additional information for Michael Smith, a provider established in Urbana, Illinois with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1861491599 assigned on July 2005. The practitioner's primary taxonomy code is 207PE0004X with license number 036141508 (IL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1861491599
Provider Name
MICHAEL J SMITH M.D.
Gender
Male
Entity Type
Individual
Location Address
611 W PARK ST EMERGENCY MED. URBANA, IL 61801
Location Phone
(217) 383-3313
Location Fax
(217) 383-4014
Mailing Address
611 W PARK ST BWPC URBANA, IL 61801
Mailing Phone
(217) 383-6941
Is Sole Proprietor?
No
Enumeration Date
07-15-2005
Last Update Date
03-23-2017
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License No.
036141508
License State
IL
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

01063120 (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000517783OTHER (01)INANTHEM
940940YYYYMEDICARE PIN (08)IN 
200858510MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Michael Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscov2 30mcg/0.3ml bst

This is an administration of a COVID-19 vaccine, specifically 30 micrograms in a 0.3 milliliter dosage. The vaccine helps your body build protection against the SARS-CoV-2 virus, which causes COVID-19.

This service was performed 31 times for 31 patients

Adm sarscov2 50mcg/0.25mlbst

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

This service was performed 29 times for 29 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 303 times for 303 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 54 times for 54 patients

Fee covid-19 vac 14 res

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

This service was performed 83 times for 83 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 271 times for 271 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 31 times for 31 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.25
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $24.31
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MICHAEL J SMITH M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861491599, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 9 + 2 + 5 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861491599.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Neonatal)
611 W PARK ST
URBANA, IL 61801
Emergency Medicine
611 W PARK ST
URBANA, IL 61801
Emergency Medicine
611 W PARK ST
URBANA, IL 61801
Internal Medicine
611 W PARK ST
URBANA, IL 61801
Physician Assistant
611 W PARK ST
URBANA, IL 61801
Clinical Nurse Specialist
611 W PARK ST
URBANA, IL 61801
Registered Nurse (Critical Care Medicine)
611 W PARK ST
URBANA, IL 61801
Pharmacy
611 W PARK ST
URBANA, IL 61801
Pharmacy
611 W PARK ST
URBANA, IL 61801
Speech-Language Pathologist
611 W PARK ST
URBANA, IL 61801
Pharmacist (Pharmacotherapy)
611 W PARK ST
URBANA, IL 61801
Occupational Therapist
611 W PARK ST
URBANA, IL 61801
Speech-Language Pathologist
611 W PARK ST
URBANA, IL 61801
Internal Medicine
611 W PARK ST, MILLS BREAST CANCER INSTITUTE
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Internal Medicine
611 W PARK ST, FORUM LL
URBANA, IL 61801
Internal Medicine
611 W PARK ST
URBANA, IL 61801
Speech-Language Pathologist
611 W PARK ST
URBANA, IL 61801
General Acute Care Hospital
611 W PARK ST, CARLE FORUM LOWER LEVEL
URBANA, IL 61801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861491599, enumerated as an "individual" on July 15, 2005.

The provider is located at 611 W PARK ST EMERGENCY MED. URBANA, IL 61801 and the phone number is (217) 383-3313.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.