Active NPI 1174875223 Individual Practitioner Female Practitioner

Amy Ann Smith , PA-C

Physician Assistant • Decatur, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Amy Smith, PA-C is a certified Physician Assistant practicing in Decatur, IL. With approximately 14 years of clinical experience since graduating from Mid West Medical College in 2012, Amy Smith delivers high-quality medical care to the local community at 550 SOUTHLAND DR.

Amy Smith is affiliated with Decatur Memorial 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 Southland Dr

Decatur, IL 625214080

Telephone 2174259264

Fax 2174255983

Associated Practice Facility / Clinic

🏢 Decatur Memorial Hospital Facility NPI 1609879097

Medicare Profile & Education

Medical School

Mid West Medical College

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Decatur, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +0.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

34 Specialists

Practicing in Decatur, IL (4958 Statewide)

Telehealth Adoption Rate

14.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (14 Years) 14 Yrs

Decatur Specialty Average (13.5 Years) 13.5 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	155	89	$247.57	$78.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	46	$324.15	$118.38
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	46	35	$40.80	$13.54
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$171.00	$53.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$452.50	$105.43

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	146	89	$240.01	$82.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	82	$316.59	$119.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$434.86	$107.13

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	215	126	$232.73	$80.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	69	$309.94	$119.17
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$157.54	$56.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$424.33	$107.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$625.38	$138.04

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	214	114	$225.73	$84.26
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$153.30	$56.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	34	$300.26	$125.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$411.20	$111.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$337.08	$116.59

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	199	107	$220.02	$67.56
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$149.33	$43.78
99442 Telephone medical discussion with physician, 11-20 minutes	20	16	$110.30	$44.39
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$60.00	$22.32

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	214	108	$207.08	$66.69
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$138.04	$43.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$574.00	$142.92

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	244	149	$196.48	$65.45
99213 Established patient office or other outpatient visit, typically 15 minutes	67	52	$127.58	$41.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$278.05	$93.54

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	238	221	$168.24	$65.60
99213 Established patient office or other outpatient visit, typically 15 minutes	120	113	$113.85	$42.71
36415 Insertion of needle into vein for collection of blood sample	17	16	$19.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2023-01-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085005048

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085005048

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AZ 5214

Definition to come...

Hospital & Practice Group Affiliations

Decatur Memorial Hospital

241 W Weaver Rd, Forsyth, IL 625359766

Phone: 2178765220

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Patrick Cavanagh , MD

Family Medicine

NPI 1669439584

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 13, 2023

Registered at 550 SOUTHLAND DR, DECATUR, IL 625214080 (Tel: 2174259264)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2023

Physician Assistant (License #085005048 in IL)

✅

NPI Profile Active September 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2014

Registered at 3131 N WATER ST, DECATUR, IL 625262472 (Tel: 2178765320)

📍

Updated Business Mailing Address September 04, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178762857)

👤

Provider Name / Credentials Updated September 04, 2014

Recorded as AMY SMITH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2014

Physician Assistant (License #5214 in AZ)

🟢

Initial NPI Registration & Enumeration October 12, 2012

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: 1174875223

Entity Type:

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

Enumeration Date: October 12, 2012

Last Update: January 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178762857

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.