CAROLYN SHANNON SMITH M.D. - NPI 1902965965 - Family Medicine in Milwaukee, WI

Q: What is Carolyn Smith's NPI number?

The NPI number for Carolyn Smith is 1902965965. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Carolyn Smith's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Carolyn Shannon Smith M.d. NPPES

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

CAROLYN SHANNON SMITH M.D. (NPI 1902965965) is an individual sports medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (38125) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1902965965

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameCAROLYN SHANNON SMITHCredential: M.D.

Location Address545 N 15TH STMilwaukee, WI 53233-2237

Mailing Address240 W Indian Creek CtMilwaukee, WI 53217-2323 · (414) 540-6593

Phone(414) 288-7184

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902965965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in WI · 38125

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

545 N 15TH ST, Milwaukee, WI 53233

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Other Identifiers 1

Medicare UPING74601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Carolyn Shannon Smith 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 ID5496140774

PECOS Enrollment IDI20220323002191

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 5

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

KELI R WOLLMER P.A.

Physician Assistant