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DR. CARL EDWIN SMITH JR. MD
NPI 1972583607
Pediatrics in Harlan, KY

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
120 PROFESSIONAL LANE, STE 201, HARLAN, KY 40831(606) 573-1004(606) 573-0059 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carl Edwin Smith Jr. Md NPPES

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

DR. CARL EDWIN SMITH JR. MD (NPI 1972583607) is an individual pediatrics provider in Harlan, Kentucky, licensed in Kentucky (24028) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1984).

NPPES Registry Identity

NPI1972583607
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CARL EDWIN SMITH JR.Credential: MD
Location Address120 PROFESSIONAL LANE, STE 201Harlan, KY 40831-2603
Mailing Address120 Professional Lane, Ste 201Harlan, KY 40831-2603 · (606) 573-1004 · Fax (606) 573-0059
Phone(606) 573-1004
Fax(606) 573-0059
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1984
Enumeration DateJanuary 19, 2006
Last NPPES UpdateNovember 30, 2009
✔ NPI 1972583607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 24028
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
120 PROFESSIONAL LANE, Harlan, KY 40831
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Other Identifiers 3

Medicare ID-Type Unspecified9719KY
Medicare UPINE52078
Medicaid31000953KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Carl Edwin 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 ID3375531551
PECOS Enrollment IDI20050727001118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Carl Smith's NPI number?

The NPI number for Carl Smith is 1972583607. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Carl Smith located?

Carl Smith practices at 120 Professional Lane Ste 201, Harlan, KY 40831. The listed phone number is (606) 573-1004.

What is Carl Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carl Smith enrolled in Medicare?

Yes. Carl 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 Carl Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Carl 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.

When was this NPI record last updated?

The NPPES record for Carl Smith was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.