1. Home
  2. Directory
  3. NPI Profile

ELENA E SMAGINA MD
NPI 1871625756
Family Medicine in East Douglas, MA

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
15 WEST ST, EAST DOUGLAS, MA 01516(085) 476-3291(508) 547-6044 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elena E Smagina Md NPPES

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

ELENA E SMAGINA MD (NPI 1871625756) is an individual family medicine provider in East Douglas, Massachusetts, licensed in Massachusetts (231164) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1871625756
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELENA E SMAGINACredential: MD
Location Address15 WEST STEast Douglas, MA 01516-2160
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (008) 225-8885 · Fax (508) 334-1977
Phone(085) 476-3291
Fax(508) 547-6044
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1871625756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 231164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 WEST ST, East Douglas, MA 01516
Open in Google Maps ↗

Other Identifiers 2

OtherJ41869MA · Bcbs
Medicaid110076112AMA

Accepted Insurance

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

Elena E Smagina 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 ID8325130776
PECOS Enrollment IDI20070815000652
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services20 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.
26 services20 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.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01516 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 3

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
6 suppliers15 claims50 services$6.34 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims13 services$60.74 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 7

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

SEEDS OF HOPE FAMILY CHIROPRACTIC LLC
Chiropractor
15 WEST ST, SUITE 204
DOUGLAS, MA 01516
Worcester County (508) 476-5577
DR. MICHAEL DAVID SPRATT D.C.
Chiropractor
15 WEST ST, SUITE 204
DOUGLAS, MA 01516
Worcester County (508) 476-5577
DR. ANDREW J MILLER M.D.
Internal Medicine
15 WEST ST
EAST DOUGLAS, MA 01516
Worcester County (508) 476-3291
DAVID MICHAEL HOYE D.M.D.
Dentist (General Practice)
15 WEST ST
DOUGLAS, MA 01516
Worcester County (508) 476-2828
DR. SARAH HOYE DMD
Dentist
15 WEST ST
DOUGLAS, MA 01516
Worcester County (508) 476-2828
DR. JASJIT SINGH SIDHU DDS
Dentist (General Practice)
15 WEST ST
DOUGLAS, MA 01516
Worcester County (508) 476-2828
DR. JOHN M LAWRENCE IV M.D.
Family Medicine
15 WEST ST
DOUGLAS, MA 01516
Worcester County (508) 476-3291

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 Elena Smagina's NPI number?

The NPI number for Elena Smagina is 1871625756. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Elena Smagina located?

Elena Smagina practices at 15 West St, East Douglas, MA 01516. The listed phone number is (085) 476-3291.

What is Elena Smagina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elena Smagina enrolled in Medicare?

Yes. Elena Smagina 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 Elena Smagina accept?

Health plans from Anthem Blue Cross and Blue Shield list Elena Smagina 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 Elena Smagina affiliated with any hospitals?

According to CMS data, Elena Smagina is affiliated with Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Elena Smagina was last updated on April 18, 2024. 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.