DONALD G. SMITH JR. MD
NPI 1952388035
Family Medicine in Richmond, IN

Q: What is Donald Smith's NPI number?

The NPI number for Donald Smith is 1952388035. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Donald Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Smith was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

795 SIM HODGIN PKWY, RICHMOND, IN 47374(765) 966-5949(765) 962-6268 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2021, Dec 2, 2020, Sep 18, 2019 and 1 more (4 updates tracked since 2019).

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About Donald G. Smith Jr. Md NPPES

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

DONALD G. SMITH JR. MD (NPI 1952388035) is an individual family medicine provider in Richmond, Indiana, licensed in Indiana (01039281A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1988).

NPPES Registry Identity

NPI1952388035

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDONALD G. SMITH JR.Credential: MD

Location Address795 SIM HODGIN PKWYRichmond, IN 47374

Mailing Address1100 Reid Parkway, Medical Staff ServicesRichmond, IN 47374-1157 · (765) 935-8802 · Fax (765) 983-3219

Phone(765) 966-5949

Fax(765) 962-6268

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1988

Enumeration DateDecember 29, 2005

Last NPPES UpdateMay 19, 20214 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1952388035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01039281A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

795 SIM HODGIN PKWY, Richmond, IN 47374

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Other Identifiers 8

Other080177730IN · Railroad Medicare

Other000000570538IN · Anthem

Medicaid100385240IN

Other3937240002IN · Medicare Dmepos

Other00001282187 06United Healthcare

Other4199405Aetna

Other5283IN · Physicians Health Plan

Other000000211205IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Donald G. Smith Jr. Md 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 ID143303933

PECOS Enrollment IDI20080218000256

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

414 services110 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.

151 services110 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

70 services45 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

67 services40 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

25 services12 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.

19 services18 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 6

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

NOVERA INAM INAM MD

Family Medicine

795 SIM HODGIN PKWY, REID HEALTH RESIDENCY CLINIC
RICHMOND, IN 47374

Wayne County (765) 966-5949

RICHMOND FAMILY CARE CENTER, P.C.

Family Medicine