Active NPI 1780734632 Individual Practitioner Female Practitioner

Claudia D Smith , NP

Nurse Practitioner • Sonora, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Claudia Smith, NP is a certified Nurse Practitioner practicing in Sonora, CA. With approximately 31 years of clinical experience since completing medical education in 1995, Claudia Smith delivers high-quality medical care to the local community at 20044 CEDAR RD N.

Claudia Smith is affiliated with Sonora Community Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20044 Cedar Rd N
Mlmc

Sonora, CA 953705900

Telephone 2096942600

Associated Practice Facility / Clinic

🏢 County Of Tuolumne Facility NPI 1417966458

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sonora, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +13.8 yrs vs City Avg

City Avg: 17.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Sonora, CA (8378 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (31 Years) 31 Yrs

Sonora Specialty Average (17.2 Years) 17.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	242	$198.00	$81.58
99213 Established patient office or other outpatient visit, typically 15 minutes	129	107	$134.00	$55.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$72.00	$29.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$270.00	$111.41
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$65.00	$15.28
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$134.00	$55.15
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$134.00	$55.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	400	167	$166.09	$83.57
99213 Established patient office or other outpatient visit, typically 15 minutes	147	90	$93.00	$56.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$271.00	$114.14
99442 Telephone medical discussion with physician, 11-20 minutes	33	29	$104.00	$56.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$74.00	$30.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$190.00	$70.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	100	$168.99	$85.13
99213 Established patient office or other outpatient visit, typically 15 minutes	100	63	$94.54	$57.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$271.00	$117.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	94	$163.51	$86.70
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$89.00	$59.11
99442 Telephone medical discussion with physician, 11-20 minutes	60	46	$99.00	$58.61
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$145.00	$85.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	122	$85.00	$45.00
99442 Telephone medical discussion with physician, 11-20 minutes	132	93	$94.00	$45.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	19	$150.00	$67.40
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$58.00	$22.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	505	184	$82.45	$44.33
99213 Established patient office or other outpatient visit, typically 15 minutes	219	164	$83.61	$44.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$143.00	$68.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	558	201	$79.56	$44.48
99213 Established patient office or other outpatient visit, typically 15 minutes	162	136	$80.63	$44.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$144.92	$68.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	826	223	$75.79	$44.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$136.63	$67.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$167.00	$101.93
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	18	18	$51.00	$24.36
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	15	15	$52.00	$16.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$97.00	$7.36

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 7824

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA 241566

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Sonora Community Hospital

900 Mono Way, Sonora, CA 953705229

Phone: 2095366925

Sonora Community Hospital

12811 Covey Cir, Sonora, CA 953705935

Phone: 2095365196

Sonora Community Hospital

680 Guzzi Ln, Sonora, CA 953705288

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Steven Smith , MD

Family Medicine

NPI 1851328298

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2013

Registered at 20044 CEDAR RD N, MLMC, SONORA, CA 953705900 (Tel: 2096942600)

📍

Updated Business Mailing Address September 30, 2013

Registered at 20044 CEDAR RD N, MLMC, SONORA, CA 953705900 (Tel: 2096942600)

👤

Provider Name / Credentials Updated September 30, 2013

Recorded as CLAUDIA SMITH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2013

Registered Nurse (License #241566 in CA)

🟢

Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Claudia Smith. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780734632

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 11, 2007

Last Update: September 30, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20044 Cedar Rd N, Mlmc

Sonora, CA 953705900

Phone: 2096942600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.