NICHOLAS SMOTHERMON DO
NPI 1912692633
Internal Medicine in Yonkers, NY

Q: What is Nicholas Smothermon's NPI number?

The NPI number for Nicholas Smothermon is 1912692633. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Q: What is Nicholas Smothermon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 07, 2023PECOS Enrolled

967 N BROADWAY, YONKERS, NY 10701(914) 798-8971 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Smothermon Do NPPES

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

NICHOLAS SMOTHERMON DO (NPI 1912692633) is an individual internal medicine provider in Yonkers, New York, licensed in New York (342132) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2023).

NPPES Registry Identity

NPI1912692633

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNICHOLAS SMOTHERMONCredential: DO

Location Address967 N BROADWAYYonkers, NY 10701-1301

Mailing Address57 Teresa DrBuffalo, NY 14218-2723

Phone(914) 798-8971

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2023

Enumeration DateApril 7, 2023

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1912692633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 342132

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

967 N BROADWAY, Yonkers, NY 10701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Smothermon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981175007

PECOS Enrollment IDI20260609002224

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 10701 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DR. JULIAN C LILDHARRIE MD

Student in an Organized Health Care Education/Training Program