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NEIL P SMITH DO
NPI 1861594038
Internal Medicine in Fairview Park, OH

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
20455 LORAIN RD, SUITE 104, FAIRVIEW PARK, OH 44126(440) 356-9844(440) 356-0660 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neil P Smith Do NPPES

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

NEIL P SMITH DO (NPI 1861594038) is an individual internal medicine provider in Fairview Park, Ohio, licensed in Ohio (34005125) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1986).

NPPES Registry Identity

NPI1861594038
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEIL P SMITHCredential: DO
Location Address20455 LORAIN RD, SUITE 104Fairview Park, OH 44126-3494
Mailing Address20455 Lorain Rd, Suite 104Fairview Park, OH 44126-3494 · (440) 356-9844 · Fax (440) 356-0660
Phone(440) 356-9844
Fax(440) 356-0660
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1986
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 21, 2017
✔ NPI 1861594038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34005125
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20455 LORAIN RD, Fairview Park, OH 44126
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Other Identifiers 4

Other289508377-00OH · Bwc
Medicaid0808746OH
Medicare PIN0682312OH
Other000000136004OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.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

Neil P Smith Do 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 ID2163326737
PECOS Enrollment IDI20031125000345
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 8

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.
512 services248 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
268 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services140 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
86 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44126 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
27 suppliers98 claims226 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers41 claims55 services$1.08 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims402 services$4.26 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,069 services$0.31 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims8,831 services$0.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers11 claims11 services$13.56 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 20

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

MARCELLO M. MELLINO MD
Internal Medicine (Cardiovascular Disease)
20455 LORAIN RD, SECOND FLOOR
FAIRVIEW PARK, OH 44126
Cuyahoga County (440) 333-8600
WESTSHORE PRIMARY CARE ASSOC., INC.
Family Medicine
20455 LORAIN RD, SUITE 102
FAIRVIEW PARK, OH 44126
Cuyahoga County (440) 353-5477
ERIC D TRATTNER DPM
Podiatrist
20455 LORAIN RD, SUITE 101
CLEVELAND, OH 44126
Cuyahoga County (440) 333-5350
CLEVELAND CARDIOVASCULAR RESEARCH FOUNDATION
Clinic/Center (Research)
20455 LORAIN RD, #200
FAIRVIEW PARK, OH 44126
Cuyahoga County (440) 333-8600
ANTHONY G. VLASTARIS MD
Internal Medicine (Cardiovascular Disease)
20455 LORAIN RD, SECOND FLOOR
FAIRVIEW PARK, OH 44126
Cuyahoga County (440) 333-8600
SARAH MICHELLE EVERETT PA-C
Physician Assistant (Surgical)
20455 LORAIN RD
FAIRVIEW PARK, OH 44126
Cuyahoga County (216) 476-7000
SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC
Radiology (Diagnostic Radiology)
20455 LORAIN RD
CLEVELAND, OH 44126
Cuyahoga County (440) 356-4800
THE CLEVELAND CLINIC FOUNDATION
General Practice
20455 LORAIN RD, STE 301
FAIRVIEW PARK, OH 44126
Cuyahoga County (216) 444-2273

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 Neil Smith's NPI number?

The NPI number for Neil Smith is 1861594038. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Neil Smith located?

Neil Smith practices at 20455 Lorain Rd Suite 104, Fairview Park, OH 44126. The listed phone number is (440) 356-9844.

What is Neil Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neil Smith enrolled in Medicare?

Yes. Neil 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 Neil Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Neil 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 Neil Smith affiliated with any hospitals?

According to CMS data, Neil Smith is affiliated with Fairview Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Neil Smith was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.