DR. CLINTON M SMITH D.C.
NPI 1891791984
Chiropractor in Breese, IL
About Dr. Clinton M Smith D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLINTON M SMITH D.C. (NPI 1891791984) is an individual chiropractor in Breese, Illinois and active in the NPI registry since June 2005. He is a graduate of National College Of Chiropractic (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Clinton M Smith D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Clinton Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Breese, IL 62230
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clinton Smith's NPI number?
The NPI number for Clinton Smith is 1891791984. It was assigned to this individual provider in the NPPES registry on June 23, 2005.
Where is Clinton Smith located?
Clinton Smith practices at 14015 Jamestown Rd, Breese, IL 62230. The listed phone number is (618) 526-7732.
What is Clinton Smith's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Clinton Smith enrolled in Medicare?
Yes. Clinton 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 organization bills Medicare for Clinton Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Smith reassigns Medicare benefits to Clinton M. Smith Dc PC (Breese, IL). The 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 Clinton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clinton Smith was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Clinton M Smith, D.C. · NPI 1891791984
Chiropractor provider in Breese, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1891791984 (Entity type: Individual)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 14015 JAMESTOWN RD, Breese, IL 62230-3647
- **Phone:** (618) 526-7732
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Clinton M. Smith Dc PC (NPI 1376694836, Breese, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** National College Of Chiropractic, class of 1988
## Record status
- **NPPES last updated:** November 21, 2007
- **Other identifiers:** Other 0001482004 (IL); Medicare UPIN T39235 (IL); Medicare PIN K44228 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891791984) · Data from the CMS NPPES public registry.