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LISA ELPHICK SMALE DO
NPI 1902216443
Emergency Medicine in Dover, DE

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
640 S STATE ST, DOVER, DE 19901(302) 674-4700(302) 735-3845 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Nov 15, 2023, May 1, 2018 (3 updates tracked since 2018).

About Lisa Elphick Smale Do NPPES

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

LISA ELPHICK SMALE DO (NPI 1902216443) is an individual emergency medicine provider in Dover, Delaware, licensed in Delaware (C2-0012047) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1902216443
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLISA ELPHICK SMALECredential: DO
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address104 Mallard DrLewes, DE 19958-1606 · (484) 300-6043
Phone(302) 674-4700
Fax(302) 735-3845
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 6, 2014
Last NPPES UpdateMay 10, 20243 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1902216443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in DE · C2-0012047✔ Licensed in FL · OS20416
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
640 S STATE ST, Dover, DE 19901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Premera Blue Cross Blue Shield of Alaska.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

Lisa Elphick Smale Do 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 ID9436415809
PECOS Enrollment IDI20171117002646
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services69 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.
60 services60 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services47 patients
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.
46 services46 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.
30 services30 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 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

JOHN MCARTOR
Pharmacist
640 S STATE ST
DOVER, DE 19901
Kent County (302) 744-7018
FRANCIS LIM MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (419) 276-1194
SUMUKH ARUN KUMAR MD
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
ABIGAIL KOZHUHAROV
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
SAFWAN MUHAMMAD MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (879) 022-5410
MS. REBECCA SUZANNE ANTAL PA-C
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
DONNA MARIE SHORT R.PH.
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Kent County (302) 744-7018
MARY KATHERINE TROYER RN
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700

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 Lisa Smale's NPI number?

The NPI number for Lisa Smale is 1902216443. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Lisa Smale located?

Lisa Smale practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 674-4700.

What is Lisa Smale's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lisa Smale enrolled in Medicare?

Yes. Lisa Smale 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 Lisa Smale accept?

Health plans from AmeriHealth Caritas Next and Premera Blue Cross Blue Shield of Alaska list Lisa Smale 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.

When was this NPI record last updated?

The NPPES record for Lisa Smale was last updated on May 10, 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.