DR. GERALD MICHAEL SMITH D.O.
NPI 1912184284
Emergency Medicine in Du Bois, PA

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-3471(814) 375-3472 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gerald Michael Smith D.o. NPPES

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

DR. GERALD MICHAEL SMITH D.O. (NPI 1912184284) is an individual emergency medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS015996) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Philadelphia College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1912184284
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GERALD MICHAEL SMITHCredential: D.O.
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-3471 · Fax (814) 375-3472
Fax(814) 375-3472
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2007
Enumeration DateJanuary 29, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1912184284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS015996
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS015996 (PA)
100 HOSPITAL AVE, Du Bois, PA 15801

Other Identifiers 1

Medicaid102738643PA

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. Gerald Michael Smith D.o. 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 ID7315103629
PECOS Enrollment IDI20120731000417
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

7

Medicare enrollment records show Gerald Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 168 clinicians in this Medicare group
Multi-Specialty
100 HOSPITAL RD
Brookville, PA 15825
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 122 clinicians in this Medicare group
Emergency Medicine
763 JOHNSONBURG RD
Saint Marys, PA 15857
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
General Acute Care Hospital
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 124 clinicians in this Medicare group
Emergency Medicine
10455 LINCOLN HWY
Everett, PA 15537
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group

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 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.

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.
238 services234 patients
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.
194 services185 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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.

Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Gerald Smith's NPI number?

The NPI number for Gerald Smith is 1912184284. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Gerald Smith located?

Gerald Smith practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-3471.

What is Gerald Smith's specialty?

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

Is Gerald Smith enrolled in Medicare?

Yes. Gerald 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 Gerald Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Smith reassigns Medicare benefits to 7 organizations: Dubois Regional Medical Center (Du Bois, PA), Brookville Hospital (Brookville, PA), Elk Regional Health Center (Saint Marys, PA), Upmc Altoona (Altoona, PA), J C Blair Memorial Hospital (Huntingdon, PA) and 2 more organizations, listed in the Medicare section above. 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 Gerald Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gerald Smith affiliated with any hospitals?

According to CMS data, Gerald Smith is affiliated with Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Gerald Smith was last updated on March 7, 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.