MICHAEL THOMAS SMITH ACNP
NPI 1902223423
Nurse Practitioner - Acute Care in Portsmouth, OH

Active since March 21, 2014PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1805 27TH ST, PORTSMOUTH, OH 45662(740) 356-6891(740) 356-1280 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 5, 2023, Dec 17, 2020 (2 updates tracked since 2020).

About Michael Thomas Smith Acnp NPPES

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

MICHAEL THOMAS SMITH ACNP (NPI 1902223423) is an individual acute care provider in Portsmouth, Ohio, licensed in Ohio (COA.15732-NP) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902223423
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMICHAEL THOMAS SMITHCredential: ACNP
Location Address1805 27TH STPortsmouth, OH 45662-2686
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-6891 · Fax (740) 356-1280
Fax(740) 356-1280
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 21, 2014
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1902223423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · COA.15732-NP
1805 27TH ST, Portsmouth, OH 45662

Other Identifiers 2

Medicaid7100283180KY
Medicaid0100828OH

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

Michael Thomas Smith Acnp 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 ID5698908499
PECOS Enrollment IDI20140501001535
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
137 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

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.

Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1902223423. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Michael Smith located?

Michael Smith practices at 1805 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-6891.

What is Michael Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Smith enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Smith accept?

Health plans from CareSource and MedMutual list Michael 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 Michael Smith affiliated with any hospitals?

According to CMS data, Michael Smith is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on May 5, 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.