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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS SMOTHERMON DO
NPI 1912692633
Internal Medicine in Buffalo, NY

Active since April 07, 2023PECOS Enrolled
301 CONNECTICUT ST, BUFFALO, NY 14213(716) 862-2572 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2026, Apr 7, 2023 (2 updates tracked since 2023).

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 Buffalo, 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 Address301 CONNECTICUT STBuffalo, NY 14213-2541
Mailing Address301 Connecticut StBuffalo, NY 14213-2541 · (716) 862-2572
Phone(716) 862-2572
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2023
Enumeration DateApril 7, 2023
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 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.
301 CONNECTICUT ST, Buffalo, NY 14213
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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 14213 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 15

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

DANIA ABDELHUSSEIN
Pharmacist
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 923-4603
D'YOUVILLE COLLEGE
Physical Therapist
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 923-4617
DR. JULIA KATHRYN VICARETTI PHARMD
Pharmacist
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 923-4603
MR. ZAIN SYED ASHRAF MD
Student in an Organized Health Care Education/Training Program
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 862-2572
THRIVE MEDICAL WNY, P.C.
Clinic/Center (Health Service)
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 201-0410
KATHERINE J ROZBORSKI D.C.
Chiropractor
301 CONNECTICUT ST, STE 202
BUFFALO, NY 14213
Erie County (716) 923-4617
SHANE CRITELLI PHARMD
Pharmacist
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 923-4603
DR. LEENA NGOC SU
Pharmacist
301 CONNECTICUT ST
BUFFALO, NY 14213
Erie County (716) 923-4603

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 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.

Where is Nicholas Smothermon located?

Nicholas Smothermon practices at 301 Connecticut St, Buffalo, NY 14213. The listed phone number is (716) 862-2572.

What is Nicholas Smothermon's specialty?

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

Is Nicholas Smothermon enrolled in Medicare?

Yes. Nicholas Smothermon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Smothermon was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.