Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598743163 Individual Practitioner Male Practitioner

Dr. Timothy Smith , DC

Chiropractor • Derby, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Smith, DC is a certified Chiropractor practicing in Derby, NY. With approximately 24 years of clinical experience since graduating from New York Chiropractic College in 2002, Dr. Smith delivers high-quality medical care to the local community at 6778 ERIE RD.

Dr. Smith maintains professional affiliations with Lakeshore Chiropractic Wellness Pllc, Seneca Nation Of Indians and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6778 Erie Rd

Derby, NY 140479672

Telephone 7169475106
Fax 7169479329
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York Chiropractic College

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Derby, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +5.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Derby, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (24 Years) 24 Yrs
Derby Specialty Average (18.3 Years) 18.3 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
98940 Chiropractic manipulative treatment, 1-2 spinal regions
124 15 $36.00 $26.18

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY X010563-1

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Independent Health
8891577 (NY)
Commercial Insurance / Payer ID Nys Wcb
C10563-7B (NY)

Hospital & Practice Group Affiliations

Seneca Nation Of Indians

275 Thomas Indian School Dr, Irving, NY 140819341

Phone: 7165325582

Lakeshore Chiropractic Wellness Pllc

6778 Erie Rd, Derby, NY 140479672

Phone: 7169475106

Secondary Practice Locations

275 Thomas Indian School Dr

Irving, NY 140819341

Phone: 7165325582

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1104431865

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 22, 2026

Registered at 6778 ERIE RD, DERBY, NY 140479672 (Tel: 7169475106)

📍
Updated Business Mailing Address July 22, 2026

Registered at 6778 ERIE RD, DERBY, NY 140479672 (Tel: 7169475106)

NPI Profile Active September 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2011

Registered at 7174 ERIE RD, DERBY, NY 140479701 (Tel: 7169475106)

📍
Updated Business Mailing Address September 14, 2011

Registered at 7174 ERIE RD, DERBY, NY 140479701 (Tel: 7169475106)

👤
Provider Name / Credentials Updated September 14, 2011

Recorded as TIMOTHY SMITH, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2011

Chiropractor (License #X010563-1 in NY)

🟢
Initial NPI Registration & Enumeration January 04, 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. Timothy Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Timothy Smith

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

NPI Administrative Meta

NPI Number: 1598743163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: July 22, 2026
Sole Proprietor: Yes

Mailing Address

6778 Erie Rd

Derby, NY 140479672

Phone: 7169475106

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.