DR. HALEY ELIZABETH SMITH MD
NPI 1871098228
Orthopaedic Surgery - Sports Medicine in Madison, WI

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
4602 EASTPARK BLVD, MADISON, WI 53718(608) 263-7540 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Oct 10, 2024, Jul 6, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Haley Elizabeth Smith Md NPPES

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

DR. HALEY ELIZABETH SMITH MD (NPI 1871098228) is an individual sports medicine provider in Madison, Wisconsin, licensed in Wisconsin (102172) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1871098228
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameDR. HALEY ELIZABETH SMITHCredential: MD
Location Address4602 EASTPARK BLVDMadison, WI 53718-2002
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateDecember 16, 20245 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
NPI 1871098228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in WI · 102172
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2023-00972 (NC), 125.072218 (IL)
4602 EASTPARK BLVD, Madison, WI 53718

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

Dr. Haley Elizabeth Smith Md 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 ID9234475609
PECOS Enrollment IDI20241022000105
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

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.

Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
4602 EASTPARK BLVD
MADISON, WI 53718
Physician Assistant
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist (Sports)
4602 EASTPARK BLVD
MADISON, WI 53718
Surgery
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Massage Therapist
4602 EASTPARK BLVD
MADISON, WI 53718

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 Haley Smith's NPI number?

The NPI number for Haley Smith is 1871098228. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Haley Smith located?

Haley Smith practices at 4602 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 263-7540.

What is Haley Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Haley Smith enrolled in Medicare?

Yes. Haley 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 Haley Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Molina Healthcare and 1 other insurer list Haley 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 Haley Smith affiliated with any hospitals?

According to CMS data, Haley Smith is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Haley Smith was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.