Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144203175 Individual Practitioner Male Practitioner

Dr. Jeffrey D Smith , MD

Plastic Surgery • Petoskey, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Smith, MD is a registered healthcare professional specializing in Plastic Surgery in Petoskey, MI. Practice services are available at 4170 CEDAR BLUFF DR under active NPI credentials.

Frequently performed procedures and clinical services include complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth, intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4170 Cedar Bluff Dr

Petoskey, MI 497707627

Telephone 2314872230
Fax 2314876172
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Petoskey, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Petoskey, MI (186 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
50 49 $1004.00 $450.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth
42 42 $526.00 $283.77
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
22 22 $472.00 $258.43
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
14 14 $504.00 $304.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
11 11 $531.00 $286.58

Medical Specialties & State Licenses

CMS Verified: 2021-04-28
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4301059444

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Specialist

NUCC Taxonomy Code: 174400000X

State License MA 204149

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1144203175 (MI)
Medicaid State Provider ID
3208079 (MA)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Mary Stoll , PA

Physician Assistant

NPI 1083862098

Physician Assistant

Tina Crook , PA-C

Physician Assistant

NPI 1285659953

Physician Assistant (Certified)

Dr. Trevor O'brien , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1487091989

Doctor of Medicine (M.D.)

NPI 1669598744

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Nicole Casady , PA-C

Physician Assistant - Medical

NPI 1801081344

Physician Assistant (Certified)

William Crook , PA

Physician Assistant

NPI 1801854534

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 28, 2021

Registered at 4170 CEDAR BLUFF DR, PETOSKEY, MI 497707627 (Tel: 2314872230)

📍
Updated Business Mailing Address April 28, 2021

Registered at 11149 SUMMERHILL WAY, CHARLEVOIX, MI 497209077 (Tel: 9785057006)

NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2015

Registered at 15 VILLAGE SQ, CHELMSFORD, MA 018242712 (Tel: 9782567697)

📍
Updated Business Mailing Address February 27, 2015

Registered at 15 VILLAGE SQ, CHELMSFORD, MA 018242712 (Tel: 9782567697)

👤
Provider Name / Credentials Updated February 27, 2015

Recorded as JEFFREY SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Specialist (License #204149 in MA)

🟢
Initial NPI Registration & Enumeration November 23, 2005

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. Jeffrey Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Jeffrey Smith

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

NPI Administrative Meta

NPI Number: 1144203175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: April 28, 2021
Sole Proprietor: Yes

Mailing Address

11149 Summerhill Way

Charlevoix, MI 497209077

Phone: 9785057006

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.