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Deactivated NPI 1568486850 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Ross Smith , MD

Emergency Medicine • Springfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date February 19, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Smith, MD was a registered Emergency Medicine practicing in Springfield, MO. Throughout an active medical career spanning 20 years, Dr. Smith provided care at the practice location at 2828 N NATIONAL AVE until profile deactivation on 2026-02-19.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2828 N National Ave

Springfield, MO 658034306

Telephone 4178374000
Fax 4178754766
Associated Practice Facility / Clinic
🏢 Kester Radiology, Llc Facility NPI 1285692772

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Springfield, MO (1467 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.8% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
29 26 $133.16 $69.54

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MO 112770

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Ven Lam , FNP

Nurse Practitioner - Family

NPI 1003188285

Family Nurse Practitioner

Beverly Gann , RNC, WHNP

Nurse Practitioner - Women's Health

NPI 1003802406

RNC, Women's Health Nurse Practitioner

Dr. Brad Jones , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1053570903

Doctor of Podiatric Medicine

Dr. Andy Wright , MD

Obstetrics & Gynecology

NPI 1073675948

Doctor of Medicine (M.D.)

NPI 1205934403

Licensed Professional Counselor

Dr. Dorinda Lee , MD

Family Medicine

NPI 1497713317

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 19, 2026

Record deactivated on February 19, 2026

NPI Profile Active June 17, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2011

Registered at 2828 N NATIONAL AVE, SPRINGFIELD, MO 658034306 (Tel: 4178374000)

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Updated Business Mailing Address June 17, 2011

Registered at 2828 N NATIONAL AVE, SPRINGFIELD, MO 658034306 (Tel: 4178374000)

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Provider Name / Credentials Updated June 17, 2011

Recorded as MARK SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2011

Emergency Medicine (License #112770 in MO)

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Initial NPI Registration & Enumeration July 27, 2006

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: 1568486850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: June 17, 2011
Deactivation Date: February 19, 2026

Mailing Address

2828 N National Ave

Springfield, MO 658034306

Phone: 4178374000

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.