DANIEL SMIGIELSKI MD
NPI 1881184133
Orthopaedic Surgery - Sports Medicine in Birmingham, AL

Active since May 12, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205(205) 918-0000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, May 12, 2018 (2 updates tracked since 2018).

About Daniel Smigielski Md NPPES

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

DANIEL SMIGIELSKI MD (NPI 1881184133) is an individual sports medicine provider in Birmingham, Alabama, licensed in Alabama (MD.46140) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1881184133
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDANIEL SMIGIELSKICredential: MD
Location Address805 SAINT VINCENTS DR STE 100Birmingham, AL 35205-1638
Mailing Address805 Saint Vincents Dr Ste 100Birmingham, AL 35205-1638 · (205) 918-0000
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2018
Enumeration DateMay 12, 2018
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1881184133 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 AL · MD.46140
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 MD.46140 (AL)
805 SAINT VINCENTS DR STE 100, Birmingham, AL 35205

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

Daniel Smigielski 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 ID1153678842
PECOS Enrollment IDI20240807002030
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 9

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.
43 services34 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.
30 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
21 services20 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
21 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Orthopaedic Surgery (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Specialist/Technologist (Athletic Trainer)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Occupational Therapist
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physical Medicine & Rehabilitation (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physician Assistant
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205

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 Daniel Smigielski's NPI number?

The NPI number for Daniel Smigielski is 1881184133. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Where is Daniel Smigielski located?

Daniel Smigielski practices at 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205. The listed phone number is (205) 918-0000.

What is Daniel Smigielski's specialty?

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

Is Daniel Smigielski enrolled in Medicare?

Yes. Daniel Smigielski 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 Daniel Smigielski accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Daniel Smigielski 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 Daniel Smigielski affiliated with any hospitals?

According to CMS data, Daniel Smigielski is affiliated with Jackson-Madison County General Hospital and Baptist Memorial Hospital - Carroll County.

When was this NPI record last updated?

The NPPES record for Daniel Smigielski was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.