1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Surgery
  6. NPI Profile

THOMAS WADDELL SMITH MD
NPI 1952729527
Surgery - Surgical Oncology in Chicago, IL

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5140 N CALIFORNIA AVE STE 420, CHICAGO, IL 60625(773) 293-8878(773) 293-8879 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2022, Aug 27, 2021 (2 updates tracked since 2021).

About Thomas Waddell Smith Md NPPES

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

THOMAS WADDELL SMITH MD (NPI 1952729527) is an individual surgical oncology provider in Chicago, Illinois, licensed in Illinois (036144153) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (2014).

NPPES Registry Identity

NPI1952729527
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameTHOMAS WADDELL SMITHCredential: MD
Location Address5140 N CALIFORNIA AVE STE 420Chicago, IL 60625-3645
Mailing Address5140 N California Ave Ste 420Chicago, IL 60625-3645 · (773) 293-8878 · Fax (773) 293-8879
Phone(773) 293-8878
Fax(773) 293-8879
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1952729527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in IL · 036144153
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
5140 N CALIFORNIA AVE STE 420, Chicago, IL 60625
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Thomas Waddell Smith 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 ID446551006
PECOS Enrollment IDI20210820000784
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Northwestern Medical Faculty Foundation
29 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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 3

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.

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.
49 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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 Thomas Smith's NPI number?

The NPI number for Thomas Smith is 1952729527. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Thomas Smith located?

Thomas Smith practices at 5140 N California Ave Ste 420, Chicago, IL 60625. The listed phone number is (773) 293-8878.

What is Thomas Smith's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Thomas Smith enrolled in Medicare?

Yes. Thomas 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 Thomas Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Smith reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Thomas Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Smith accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas 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 Thomas Smith affiliated with any hospitals?

According to CMS data, Thomas Smith is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Smith was last updated on August 30, 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.