Active NPI 1174555163 Individual Practitioner Male Practitioner

Dr. James M. Smith , MD

Surgery • Lebanon, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Smith, MD is a certified Surgery practicing in Lebanon, KY. With approximately 25 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2001, Dr. Smith delivers high-quality medical care to the local community at 429 W WALNUT ST.

Dr. Smith is affiliated with Spring View Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, colorectal cancer screening; colonoscopy on individual at high risk, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

429 W Walnut St

Lebanon, KY 400331346

Telephone 2706994602

Fax 2706925255

Associated Practice Facility / Clinic

🏢 Bio-Medical Applications Of Kentucky, Inc. Facility NPI 1174761696

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lebanon, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Lebanon, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (25 Years) 25 Yrs

Lebanon Specialty Average (25.0 Years) 25.0 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
45380 Biopsy of large bowel using an endoscope	65	64	$1041.09	$176.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	34	34	$804.51	$168.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$765.19	$90.15
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$184.10	$83.58
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$874.30	$148.66
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$804.51	$169.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	58	58	$1041.09	$179.28
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	53	53	$804.51	$173.21
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$184.10	$82.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$230.00	$105.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$765.19	$83.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$92.81	$51.89
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$874.30	$157.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	102	$163.53	$84.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	86	$92.81	$52.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$230.00	$102.19
45380 Biopsy of large bowel using an endoscope	57	57	$1041.09	$169.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	55	55	$804.51	$173.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$765.19	$107.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$664.22	$85.97
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$874.30	$162.99
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$804.51	$168.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	110	$154.00	$86.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	100	$92.81	$52.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$230.00	$104.91
45380 Biopsy of large bowel using an endoscope	65	65	$1041.09	$177.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$804.51	$178.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$765.19	$93.08
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$874.30	$158.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$281.56	$130.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$664.22	$70.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$804.51	$179.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	95	$154.00	$69.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	83	$92.81	$42.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$230.00	$101.20
45380 Biopsy of large bowel using an endoscope	61	61	$1041.09	$188.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	37	37	$804.51	$182.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$765.19	$90.60
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$874.30	$182.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$230.00	$100.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	70	$92.81	$41.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	24	$92.81	$24.44
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$154.00	$68.62
45380 Biopsy of large bowel using an endoscope	38	37	$1041.09	$182.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$765.19	$116.04
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$159.00	$71.03
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$804.51	$180.70
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$207.85	$97.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$804.51	$180.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	34	$92.81	$24.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$230.00	$98.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	70	$92.81	$40.67
97597 Removal of tissue from wound, 20.0 sq cm or less	61	14	$144.00	$23.32
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$154.00	$67.36
45380 Biopsy of large bowel using an endoscope	32	32	$1041.09	$192.23
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$804.51	$181.39
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$874.30	$182.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	15	$281.56	$131.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$804.51	$170.32
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$154.00	$49.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$765.19	$106.89
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$207.85	$97.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$230.00	$73.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$664.22	$88.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$230.00	$99.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$92.81	$40.06
45380 Biopsy of large bowel using an endoscope	28	28	$1041.09	$177.50
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$154.00	$67.88
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$664.22	$83.24
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$874.30	$181.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$765.19	$98.84

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0054702

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

59805307 (CO)

Commercial Insurance / Payer ID Blue Cross Blue Shield

105556 (KS)

Commercial Insurance / Payer ID Texas License

N5407 (TX)

Commercial Insurance / Payer ID License

04-31948 (KS)

Commercial Insurance / Payer ID License

50485 (KY)

Hospital & Practice Group Affiliations

Spring View Physician Practices Llc

429 Walnut St, Lebanon, KY 400331346

Phone: 2706994602

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kevin Slentz , MD

Surgery

NPI 1215991443

Doctor of Medicine (M.D.)

Angelica Anderson , APRN

Nurse Practitioner - Family

NPI 1619709078

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2017

Registered at 429 W WALNUT ST, LEBANON, KY 400331346 (Tel: 2706994602)

📍

Updated Business Mailing Address June 20, 2017

Registered at 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 370275098 (Tel: (615) 920-7906)

👤

Provider Name / Credentials Updated June 20, 2017

Recorded as JAMES SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Surgery (License #DR.0054702 in CO)

✅

NPI Profile Active February 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2016

Registered at 501 AIRPORT RD, RIFLE, CO 816508510 (Tel: 9706256496)

📍

Updated Business Mailing Address February 12, 2016

Registered at 501 AIRPORT RD, RIFLE, CO 816508510 (Tel: 9706256496)

👤

Provider Name / Credentials Updated February 12, 2016

Recorded as JAMES SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2016

Surgery (License #DR.0054702 in CO)

🟢

Initial NPI Registration & Enumeration July 07, 2006

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 Dr. James 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: 1174555163

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

330 Seven Springs Way

Brentwood, TN 370275098

Phone: 6159207906

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.