DR. EDWARD LAWRENCE SMITH D.O.
NPI 1962617845
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sheboygan, WI
About Dr. Edward Lawrence Smith D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD LAWRENCE SMITH D.O. (NPI 1962617845) is an individual otolaryngology/facial plastic surgery provider in Sheboygan, Wisconsin, licensed in Wisconsin (55826-21) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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. Edward Lawrence Smith D.o. 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
2Medicare enrollment records show Edward Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 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 8
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIHoly Family Memorial
Acute Care Hospitals · Manitowoc, WIAurora Medical Ctr Oshkosh
Acute Care Hospitals · Oshkosh, WIMedicare 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.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Edward Smith's NPI number?
The NPI number for Edward Smith is 1962617845. It was assigned to this individual provider in the NPPES registry on May 13, 2007.
Where is Edward Smith located?
Edward Smith practices at 1411 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (616) 735-3257.
What is Edward Smith's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Edward Smith enrolled in Medicare?
Yes. Edward 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 Edward Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Smith reassigns Medicare benefits to 2 organizations: Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). 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 Edward Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Smith accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Network Health list Edward 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 Edward Smith affiliated with any hospitals?
According to CMS data, Edward Smith is affiliated with Thedacare Regional Med Ctr - Neenah, Holy Family Memorial and Aurora Medical Ctr Oshkosh.
When was this NPI record last updated?
The NPPES record for Edward Smith was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Edward Lawrence Smith, D.O. · NPI 1962617845
Otolaryngology/Facial Plastic Surgery physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since May 13, 2007.
## Identity
- **NPI:** 1962617845 (Entity type: Individual)
- **Enumerated:** May 13, 2007
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 55826-21 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1411 N TAYLOR DR, Sheboygan, WI 53081-3043
- **Phone:** (616) 735-3257
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Froedtert Manitowoc Medical Group, LLC (NPI 1437829975, Manitowoc, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962617845) · Data from the CMS NPPES public registry.