ADAM J. SMITH MD
NPI 1962734368
Internal Medicine - Pulmonary Disease in Burlington, MA

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-8480(781) 744-3443 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2018, Dec 21, 2016 (2 updates tracked since 2016).

About Adam J. Smith Md NPPES

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

ADAM J. SMITH MD (NPI 1962734368) is an individual pulmonary disease provider in Burlington, Massachusetts, licensed in Massachusetts (243091) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1962734368
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameADAM J. SMITHCredential: MD
Location Address41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTERBurlington, MA 01805
Mailing Address41 Mall Road, Lahey Hospital & Medical CenterBurlington, MA 01805-0001 · (781) 744-8480 · Fax (781) 744-3443
Fax(781) 744-3443
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateFebruary 10, 2010
Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration
NPI 1962734368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 243091
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 243091 (MA)
41 MALL ROAD, Burlington, MA 01805

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

Adam J. 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 ID7911039391
PECOS Enrollment IDI20100721000009
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 18

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 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.
541 services378 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
289 services284 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
176 services172 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
151 services95 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
145 services145 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
138 services137 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers71 claims71 services$33.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers50 claims50 services$79.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers47 claims117 services$29.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers12 claims62 services$16.61 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers19 claims110 services$13.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers38 claims38 services$47.57 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.

Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

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 Adam Smith's NPI number?

The NPI number for Adam Smith is 1962734368. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Adam Smith located?

Adam Smith practices at 41 Mall Road Lahey Hospital & Medical Center, Burlington, MA 01805. The listed phone number is (781) 744-8480.

What is Adam Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Adam Smith enrolled in Medicare?

Yes. Adam 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.

What insurance does Adam Smith accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Adam 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 Adam Smith affiliated with any hospitals?

According to CMS data, Adam Smith is affiliated with Lawrence General Hospital, Anna Jaques Hospital, Northeast Hospital Corporation, Holy Family Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Adam Smith was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.