DR. PHILIP MICHAEL SMITH M.D.
NPI 1952351876
Ophthalmology in Minocqua, WI
About Dr. Philip Michael Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP MICHAEL SMITH M.D. (NPI 1952351876) is an individual ophthalmology provider in Minocqua, Wisconsin, licensed in Wisconsin (53051) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains a secondary practice location in Auburn.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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. Philip Michael 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.
Medicare Billing Reassignments
9Medicare enrollment records show Philip Smith reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minocqua, WI 54548
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Appleton, WI 54914
- Reassigned Medicare billing, Wisconsin enrollment
- 32 clinicians in this Medicare group
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Jackson, CA 95642
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Willows, CA 95988
- Reassigned Medicare billing, California enrollment
- 15 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 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIBerlin Memorial Hospital
Critical Access Hospitals · Berlin, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Philip Smith's NPI number?
The NPI number for Philip Smith is 1952351876. It was assigned to this individual provider in the NPPES registry on May 11, 2006.
Where is Philip Smith located?
Philip Smith practices at 9576 Hwy 70, Minocqua, WI 54548. The listed phone number is (715) 387-5236.
What is Philip Smith's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Philip Smith enrolled in Medicare?
Yes. Philip 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 Philip Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Smith reassigns Medicare benefits to 9 organizations: Mchs Hospitals Inc (Minocqua, WI), Flambeau Hospital Inc (Park Falls, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI) and 4 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 Philip Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Smith accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Philip Smith 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 Philip Smith affiliated with any hospitals?
According to CMS data, Philip Smith is affiliated with Thedacare Regional Medical Center - Appleton Inc and Berlin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Philip Smith was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Philip Michael Smith, M.D. · NPI 1952351876
Ophthalmology physician in Minocqua, Wisconsin. Individual provider, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1952351876 (Entity type: Individual)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 53051 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9576 HWY 70, Minocqua, WI 54548-9067
- **Phone:** (715) 387-5236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals Inc (NPI 1942854716, Minocqua, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Memorial Hospital, Inc (NPI 1679746747, Neillsville, WI); Lakeview Medical Center Inc Of Rice Lake (NPI 1659008605, Chetek, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952351876) · Data from the CMS NPPES public registry.