HUGH FRANKLIN SMISSON III
NPI 1922054998
Neurological Surgery in Macon, GA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
840 PINE ST, SUITE 880, MACON, GA 31201(478) 743-7092(478) 743-6293 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2022, Sep 20, 2021 (2 updates tracked since 2021).

About Hugh Franklin Smisson Iii NPPES

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

HUGH FRANKLIN SMISSON III (NPI 1922054998) is an individual neurological surgery provider in Macon, Georgia, licensed in Georgia (035524) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1922054998
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameHUGH FRANKLIN SMISSON III
Location Address840 PINE ST, SUITE 880Macon, GA 31201-2100
Mailing Address840 Pine St Ste 880Macon, GA 31201-7525 · (478) 743-7092 · Fax (478) 743-6293
Fax(478) 743-6293
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1922054998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in GA · 035524
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSpecialistTaxonomy 174400000X · License 035524 (GA)
840 PINE ST, Macon, GA 31201

Other Names 1

Professional Name (2)Hugh Franklin Smisson M.d.

Other Identifiers 1

Medicaid00495338AGA

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

Hugh Franklin Smisson Iii 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 ID4587708557
PECOS Enrollment IDI20100216000002
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 36

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,980 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
523 services267 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
126 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services90 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
105 services105 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
94 services80 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier16 claims16 services$3,758.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Nephrology)
840 PINE ST, #750
MACON, GA 31201
Otolaryngology
840 PINE ST, SUITE 800
MACON, GA 31201
Obstetrics & Gynecology (Gynecologic Oncology)
840 PINE ST, STE 760
MACON, GA 31201
Obstetrics & Gynecology
840 PINE ST, SUITE 910
MACON, GA 31201
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
840 PINE ST, SUITE 970
MACON, GA 31201
Psychologist (Clinical)
840 PINE ST, SUITE 880
MACON, GA 31201
Neurological Surgery
840 PINE ST, SUITE 880
MACON, GA 31201
Physician Assistant (Surgical)
840 PINE ST, SUITE 880
MACON, GA 31201

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 Hugh Smisson's NPI number?

The NPI number for Hugh Smisson is 1922054998. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Hugh Franklin Smisson M.D..

Where is Hugh Smisson located?

Hugh Smisson practices at 840 Pine St Suite 880, Macon, GA 31201. The listed phone number is (478) 743-7092.

What is Hugh Smisson's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Hugh Smisson enrolled in Medicare?

Yes. Hugh Smisson 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 Hugh Smisson accept?

Health plans from Alliant Health Plans, Inc. list Hugh Smisson 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 Hugh Smisson affiliated with any hospitals?

According to CMS data, Hugh Smisson is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Fairview Park Hospital, Northside Hospital and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Hugh Smisson was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.