Active NPI 1710208814 Individual Practitioner Female Practitioner

Denise L. Smithem , ANP

Nurse Practitioner • Middletown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Denise Smithem, ANP is a certified Nurse Practitioner practicing in Middletown, NY. With approximately 16 years of clinical experience since completing medical education in 2010, Denise Smithem delivers high-quality medical care to the local community at 155 CRYSTAL RUN RD.

Denise Smithem is affiliated with Crystal Run Healthcare Physicians Llp 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, routine ekg using at least 12 leads including interpretation and report, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

155 Crystal Run Rd

Middletown, NY 109414028

Telephone 8457036999

Fax 8457036297

Associated Practice Facility / Clinic

🏢 Crystal Run Healthcare Physicians Llp Facility NPI 1952376410

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Middletown, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +7.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

18 Specialists

Practicing in Middletown, NY (3155 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smithem (16 Years) 16 Yrs

Middletown Specialty Average (8.9 Years) 8.9 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	582	403	$325.00	$115.45
93000 Routine ekg using at least 12 leads including interpretation and report	228	227	$70.00	$13.10
36415 Insertion of needle into vein for collection of blood sample	187	128	$18.51	$8.65
80053 Blood test, comprehensive group of blood chemicals	79	78	$36.00	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	76	74	$60.00	$13.12
85610 Blood test, clotting time	75	12	$26.00	$4.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	73	71	$31.00	$7.52
99213 Established patient office or other outpatient visit, typically 15 minutes	71	66	$235.00	$82.17
84443 Blood test, thyroid stimulating hormone (TSH)	53	52	$50.00	$16.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$425.00	$148.44
83735 Magnesium level	29	29	$28.00	$6.57
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$31.00	$8.29
83036 Hemoglobin A1C level	15	15	$33.00	$9.52

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	518	387	$320.23	$116.69
93000 Routine ekg using at least 12 leads including interpretation and report	252	235	$67.86	$13.41
99213 Established patient office or other outpatient visit, typically 15 minutes	134	123	$235.00	$82.27
36415 Insertion of needle into vein for collection of blood sample	129	110	$18.00	$8.40
80053 Blood test, comprehensive group of blood chemicals	82	75	$36.00	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	79	69	$60.00	$13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	75	71	$31.00	$7.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	57	45	$250.00	$97.44
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	34	$230.00	$58.36
80048 Blood test, basic group of blood chemicals (calcium, total)	33	30	$31.00	$8.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$425.00	$154.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	23	$200.00	$70.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	24	$190.00	$68.31
83036 Hemoglobin A1C level	23	21	$33.00	$9.52
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	21	20	$85.00	$23.26
84443 Blood test, thyroid stimulating hormone (TSH)	21	20	$50.00	$16.46
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	15	15	$75.00	$23.24
83735 Magnesium level	13	13	$28.00	$6.57

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	463	354	$320.00	$118.33
93000 Routine ekg using at least 12 leads including interpretation and report	243	231	$60.00	$13.54
99213 Established patient office or other outpatient visit, typically 15 minutes	205	182	$231.34	$84.09
36415 Insertion of needle into vein for collection of blood sample	138	117	$18.00	$2.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	87	55	$250.00	$83.62
80061 Blood test, lipids (cholesterol and triglycerides)	80	75	$60.00	$13.23
80053 Blood test, comprehensive group of blood chemicals	78	75	$36.00	$10.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	73	69	$31.00	$7.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	42	$190.00	$63.75
80048 Blood test, basic group of blood chemicals (calcium, total)	41	34	$31.00	$8.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$200.00	$65.60
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	17	17	$85.00	$23.98
84443 Blood test, thyroid stimulating hormone (TSH)	16	16	$50.00	$16.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$510.00	$170.06
83036 Hemoglobin A1C level	13	12	$33.00	$9.61

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	453	346	$315.47	$120.52
93000 Routine ekg using at least 12 leads including interpretation and report	256	234	$60.00	$14.15
99213 Established patient office or other outpatient visit, typically 15 minutes	233	199	$221.39	$85.99
J2785 Injection, regadenoson, 0.1 mg	160	40	$125.00	$58.38
36415 Insertion of needle into vein for collection of blood sample	138	110	$18.00	$3.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	119	80	$250.00	$84.70
80061 Blood test, lipids (cholesterol and triglycerides)	98	84	$60.00	$13.39
80053 Blood test, comprehensive group of blood chemicals	94	82	$36.00	$10.56
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	67	67	$230.00	$59.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	46	$31.00	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	30	22	$31.00	$8.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$200.00	$66.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	20	$190.00	$64.53
83036 Hemoglobin A1C level	22	21	$33.00	$9.71
G0008 Administration of influenza virus vaccine	19	19	$45.00	$18.62
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$212.50	$86.94
84443 Blood test, thyroid stimulating hormone (TSH)	16	15	$50.00	$16.80
90662 Influenza vaccine split virus, preservative free	16	16	$100.00	$65.26
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	15	15	$85.00	$24.36
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	13	$365.00	$125.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$285.00	$95.99

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	378	299	$259.34	$100.72
99213 Established patient office or other outpatient visit, typically 15 minutes	162	148	$183.43	$70.15
93000 Routine ekg using at least 12 leads including interpretation and report	154	147	$60.00	$15.97
36415 Insertion of needle into vein for collection of blood sample	149	122	$18.00	$2.98
J2785 Injection, regadenoson, 0.1 mg	112	28	$125.00	$59.21
80061 Blood test, lipids (cholesterol and triglycerides)	103	88	$60.00	$13.29
80053 Blood test, comprehensive group of blood chemicals	101	89	$36.00	$10.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	82	66	$214.39	$84.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	38	$174.65	$66.67
80048 Blood test, basic group of blood chemicals (calcium, total)	43	39	$31.00	$8.40
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	37	37	$230.00	$58.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	32	$161.67	$64.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	28	$31.00	$7.72
83036 Hemoglobin A1C level	24	22	$33.00	$9.66
G0008 Administration of influenza virus vaccine	23	23	$45.00	$17.88
99442 Telephone medical discussion with physician, 11-20 minutes	19	17	$156.05	$70.03
90662 Influenza vaccine split virus, preservative free	18	18	$100.00	$60.98
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	12	12	$72.50	$25.10

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	677	432	$246.72	$97.22
36415 Insertion of needle into vein for collection of blood sample	238	180	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	188	156	$169.68	$66.89
80048 Blood test, basic group of blood chemicals (calcium, total)	187	144	$31.00	$9.21
93000 Routine ekg using at least 12 leads including interpretation and report	173	159	$60.00	$15.53
80061 Blood test, lipids (cholesterol and triglycerides)	159	140	$60.00	$14.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	141	88	$202.91	$82.66
84460 Liver enzyme (sgpt), level	126	111	$17.00	$5.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	58	52	$154.66	$62.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	29	$166.36	$64.02
80053 Blood test, comprehensive group of blood chemicals	36	35	$36.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	36	30	$31.00	$8.46
83036 Hemoglobin A1C level	21	20	$33.00	$10.57
85610 Blood test, clotting time	19	14	$26.00	$4.28
G0008 Administration of influenza virus vaccine	19	19	$41.32	$17.52
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$40.00	$18.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$240.00	$89.27
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	12	12	$230.00	$57.54
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	12	12	$380.00	$74.85

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	628	397	$227.77	$94.48
93000 Routine ekg using at least 12 leads including interpretation and report	240	226	$60.00	$15.30
36415 Insertion of needle into vein for collection of blood sample	178	127	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	177	147	$156.07	$65.15
80048 Blood test, basic group of blood chemicals (calcium, total)	160	114	$31.00	$10.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	102	71	$175.00	$81.73
80061 Blood test, lipids (cholesterol and triglycerides)	79	72	$60.00	$16.20
84460 Liver enzyme (sgpt), level	77	71	$17.00	$6.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	48	$140.00	$61.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	41	$150.00	$64.08
J2785 Injection, regadenoson, 0.1 mg	48	12	$125.00	$55.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	30	$214.00	$92.81
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	31	29	$31.00	$9.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$300.00	$129.91
G0008 Administration of influenza virus vaccine	21	21	$40.00	$21.66
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$40.00	$18.65
85610 Blood test, clotting time	19	15	$26.00	$4.75
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	16	16	$230.00	$58.78
80053 Blood test, comprehensive group of blood chemicals	14	14	$36.00	$12.78
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	12	12	$380.00	$74.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	440	208	$150.00	$64.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	102	$204.68	$92.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	102	$225.00	$94.24
99239 Hospital discharge day management, more than 30 minutes	93	90	$200.00	$95.63
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$155.00	$64.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$300.00	$129.02
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$60.00	$15.35
36415 Insertion of needle into vein for collection of blood sample	28	25	$18.00	$2.94
80048 Blood test, basic group of blood chemicals (calcium, total)	23	21	$31.00	$7.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$400.00	$180.45
99217 Hospital observation care on day of discharge	23	23	$140.00	$64.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$275.00	$122.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$77.50	$34.96
99238 Hospital discharge day management, 30 minutes or less	20	20	$150.00	$64.59
99219 Hospital observation care, typically 50 minutes	12	12	$270.00	$121.09
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$60.00	$13.15

Medical Specialties & State Licenses

CMS Verified: 2020-10-16

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F305396

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License NY F305396

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03241903 (NY)

Hospital & Practice Group Affiliations

Crystal Run Healthcare Physicians Llp

300 Crystal Run Rd, Middletown, NY 109414069

Phone: 8456926999

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Physical Therapist

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Physical Therapist

Dr. Rafeel Syed , MD

Internal Medicine - Nephrology

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Doctor of Medicine (M.D.)

Alexandriah Sabarese , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1003460338

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Nancy Linneman , MD

Internal Medicine - Pulmonary Disease

NPI 1003816604

Doctor of Medicine (M.D.)

Chiquita Houston-Armstrong , NP

Nurse Practitioner - Family

NPI 1003826132

Nurse Practitioner

Dr. Peggy Nelson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013000629

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated October 16, 2020

Recorded as DENISE SMITHEM, ANP

✅

NPI Profile Active November 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2015

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

📍

Updated Business Mailing Address November 27, 2015

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated November 27, 2015

Recorded as DENISE SMITHEM, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2015

Nurse Practitioner (License #F305396 in NY)

🟢

Initial NPI Registration & Enumeration June 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710208814

Entity Type:

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

Enumeration Date: June 13, 2010

Last Update: October 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

155 Crystal Run Rd

Middletown, NY 109414028

Phone: 8457036999

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.