Active NPI 1073995965 Individual Practitioner Male Practitioner

Dr. Benjamin Parker Smith , MD

Emergency Medicine • Athens, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Smith, MD is a certified Emergency Medicine practicing in Athens, GA. With approximately 11 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2015, Dr. Smith delivers high-quality medical care to the local community at 1199 PRINCE AVE.

Dr. Smith is affiliated with Georgia Emergency Medicine Specialists, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, interpretation and report of electrical activity of heart using 1-3 leads. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1199 Prince Ave

Athens, GA 306062767

Telephone 8663218433

Associated Practice Facility / Clinic

🏢 Athens Regional Pathology Associates, Llp Facility NPI 1942272620

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Athens, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -6.3 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

41 Specialists

Practicing in Athens, GA (1748 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (11 Years) 11 Yrs

Athens Specialty Average (17.3 Years) 17.3 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
99285 Emergency department visit for life threatening or functioning severity	247	234	$1758.00	$176.77
99291 Critical care, first 30-74 minutes	92	90	$2249.00	$212.27
93042 Interpretation and report of electrical activity of heart using 1-3 leads	62	61	$72.00	$6.75
99284 Emergency department visit with moderate level of medical decision making	51	48	$1211.00	$121.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	285	279	$1758.00	$173.37
99291 Critical care, first 30-74 minutes	134	126	$2249.00	$208.93
99284 Emergency department visit with moderate level of medical decision making	49	47	$1211.00	$119.41
93042 Interpretation and report of electrical activity of heart using 1-3 leads	32	31	$72.00	$6.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	311	299	$1758.00	$174.10
99291 Critical care, first 30-74 minutes	135	130	$2249.00	$211.34
99284 Emergency department visit with moderate level of medical decision making	35	34	$1211.00	$120.22
99283 Emergency department visit with low level of medical decision making	21	19	$659.00	$71.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	297	288	$1759.35	$178.69
99291 Critical care, first 30-74 minutes	138	133	$2251.17	$215.78
99284 Emergency department visit with moderate level of medical decision making	41	41	$1211.00	$122.27
99283 Emergency department visit with low level of medical decision making	29	28	$660.72	$71.95
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	12	$1486.85	$135.10
99292 Critical care, each additional 30 minutes	11	11	$1132.00	$102.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	311	299	$1703.99	$174.70
99291 Critical care, first 30-74 minutes	111	108	$2180.35	$221.54
99284 Emergency department visit with moderate level of medical decision making	54	54	$1185.44	$120.90
99283 Emergency department visit with low level of medical decision making	18	17	$655.06	$65.83
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	13	$1436.85	$139.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	428	408	$1543.89	$169.60
99291 Critical care, first 30-74 minutes	132	130	$1977.84	$216.15
99284 Emergency department visit with moderate level of medical decision making	100	95	$1051.19	$116.49
99283 Emergency department visit with low level of medical decision making	32	31	$560.81	$60.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	156	153	$1439.94	$165.22
99284 Emergency department visit with moderate level of medical decision making	56	56	$984.61	$110.83
99291 Critical care, first 30-74 minutes	42	42	$1879.05	$212.49
99283 Emergency department visit with low level of medical decision making	30	30	$450.77	$59.49

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License GA 077787

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003192981B (GA)

Hospital & Practice Group Affiliations

Georgia Emergency Medicine Specialists, Pc

1199 Prince Ave, Athens, GA 306062797

Phone: 7064757000

Secondary Practice Locations

1120 15th St

Augusta, GA 309120004

Phone: 7067212705

Practice Associates & Co-Workers

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

2 Associated Practitioners

Joanne Grace , NP

Nurse Practitioner

NPI 1831585520

Nurse Practitioner

Jennifer Schueler , NP

Nurse Practitioner

NPI 1891181244

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 16, 2019

Registered at 1199 PRINCE AVE, ATHENS, GA 306062767 (Tel: 8663218433)

📍

Updated Business Mailing Address January 16, 2019

Registered at 1199 PRINCE AVE, ATHENS, GA 306062767 (Tel: 8663218433)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2019

Emergency Medicine (License #077787 in GA)

✅

NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2015

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067212705)

📍

Updated Business Mailing Address June 26, 2015

Registered at 1120 15TH ST, AUGUSTA, GA 309120004

👤

Provider Name / Credentials Updated June 26, 2015

Recorded as BENJAMIN SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Emergency Medicine (License #7559 in GA)

🟢

Initial NPI Registration & Enumeration June 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073995965

Entity Type:

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

Enumeration Date: June 26, 2015

Last Update: January 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1199 Prince Ave

Athens, GA 306062767

Phone: 8663218433

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.