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DR. CLAYTON ALLEN SMITH JR. M.D.
NPI 1891088613
Internal Medicine - Adult Congenital Heart Disease in Cincinnati, OH

Active since May 26, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
3333 BURNET AVE # MLC2003, CINCINNATI, OH 45229(513) 803-2243(513) 803-0079 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, Apr 25, 2022, Jan 25, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Clayton Allen Smith Jr. M.d. NPPES

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

DR. CLAYTON ALLEN SMITH JR. M.D. (NPI 1891088613) is an individual adult congenital heart disease provider in Cincinnati, Ohio, licensed in Ohio (35.149129) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Crestview Hills.

NPPES Registry Identity

NPI1891088613
Entity TypeIndividualMale
Primary Taxonomy207RA0002X
Provider Legal NameDR. CLAYTON ALLEN SMITH JR.Credential: M.D.
Location Address3333 BURNET AVE # MLC2003Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave # Mlc2003Cincinnati, OH 45229-3026 · (513) 803-2243 · Fax (513) 803-0079
Phone(513) 803-2243
Fax(513) 803-0079
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateMay 26, 2011
Last NPPES UpdateAugust 29, 20234 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1891088613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RA0002X
License✔ Licensed in OH · 35.149129
Definition
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.149129 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35.149129 (OH)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 35.149129 (OH)
3333 BURNET AVE # MLC2003, Cincinnati, OH 45229
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Secondary Practice Location 1

Location 12765 Chapel PlCrestview Hills, KY 41017-3413 · Phone (513) 803-2243 · Fax (513) 803-0079

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clayton Allen Smith Jr. M.d. 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 ID4880025865
PECOS Enrollment IDI20230907002734, I20240410003830
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Clayton Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 110 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Childrens Healthcare Of Atlanta Cardiology Inc
364 mi
Pediatric Cardiology
2970 BRANDYWINE RD STE 125
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Children's Healthcare Of Atlanta Cardiology Inc
  • 66 clinicians in this Medicare group
NPI 1235148727 (404) 256-2593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly
OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

JORDAN SCOTT SILL
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4200
EMILY SULLIVAN GORRELL MD
Student in an Organized Health Care Education/Training Program
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 803-4574
KATIE KLINGEN MD
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 803-4574
COLLEEN MORAN PATER MD
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
JONATHAN PACELLA
Student in an Organized Health Care Education/Training Program
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
DR. KATHERINE FLORIANNE PRICE MD
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 803-7329
JOHN SHABOSKY
Internal Medicine (Adult Congenital Heart Disease)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (513) 803-4574
DR. HIEU TA MD
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE # MLC2003
CINCINNATI, OH 45229
Hamilton County (135) 636-4432

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 Clayton Smith's NPI number?

The NPI number for Clayton Smith is 1891088613. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Clayton Smith located?

Clayton Smith practices at 3333 Burnet Ave # Mlc2003, Cincinnati, OH 45229. The listed phone number is (513) 803-2243.

What is Clayton Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Clayton Smith enrolled in Medicare?

Yes. Clayton 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.

Which organizations bill Medicare for Clayton Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Smith reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and Childrens Healthcare Of Atlanta Cardiology Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Clayton 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 Clayton Smith affiliated with any hospitals?

According to CMS data, Clayton Smith is affiliated with University Of Cincinnati Medical Center, LLC and Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Clayton Smith was last updated on August 29, 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.