Active NPI 1558576454 Individual Practitioner Female Practitioner

Dr. Staci Charlene Smith , DO

Internal Medicine - Nephrology • Gallipolis, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Staci Smith, DO is a certified Internal Medicine - Nephrology practicing in Gallipolis, OH. With approximately 21 years of clinical experience since graduating from West Virginia University School Of Medicine in 2005, Dr. Smith delivers high-quality medical care to the local community at 100 JACKSON PIKE.

Dr. Smith maintains professional affiliations with Internal Medicine Care, Inc, Holzer Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 456311560

Telephone 8554465937

Fax 7404465573

Associated Practice Facility / Clinic

🏢 Holzer Clinic, Llc Facility NPI 1508817248

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Gallipolis, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Gallipolis, OH (517 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (21 Years) 21 Yrs

Gallipolis Specialty Average (19.0 Years) 19.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	91	$144.43	$73.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	77	$158.79	$114.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$592.37	$161.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$527.93	$123.02
81003 Automated urinalysis test	29	27	$5.63	$2.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$543.31	$199.20

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	771	169	$118.97	$76.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	141	$135.00	$119.75
90962 Dialysis services, 1 physician visit per month (20 years or older)	97	25	$500.00	$192.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	59	$401.36	$125.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$333.03	$166.97
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$103.89	$77.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$283.02	$114.59

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	1,114	264	$124.82	$68.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	175	$144.76	$121.08
90962 Dialysis services, 1 physician visit per month (20 years or older)	161	36	$500.00	$196.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	86	$401.52	$130.34
90966 Home dialysis services per month, patient 20 years of age or older	76	16	$500.00	$288.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	68	$310.36	$190.39
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$95.00	$85.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	15	$317.13	$99.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$300.00	$211.35

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	1,351	305	$132.25	$69.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	514	222	$145.00	$123.74
90962 Dialysis services, 1 physician visit per month (20 years or older)	229	43	$477.73	$198.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	147	102	$400.50	$132.18
90935 Hemodialysis procedure with physician evaluation	143	53	$200.00	$71.27
90966 Home dialysis services per month, patient 20 years of age or older	119	16	$500.00	$291.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	80	$333.01	$194.29
99213 Established patient office or other outpatient visit, typically 15 minutes	68	63	$95.00	$86.96
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	23	12	$450.00	$291.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$336.58	$96.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$300.00	$213.52

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	1,379	367	$139.71	$70.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	228	$145.00	$103.32
90935 Hemodialysis procedure with physician evaluation	362	105	$200.00	$72.79
90962 Dialysis services, 1 physician visit per month (20 years or older)	273	53	$400.00	$179.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	149	106	$336.69	$136.16
99213 Established patient office or other outpatient visit, typically 15 minutes	113	89	$95.00	$70.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	85	$318.76	$195.71
90966 Home dialysis services per month, patient 20 years of age or older	84	20	$500.00	$233.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$360.39	$102.85
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	19	12	$450.00	$232.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$98.00	$38.81
99239 Hospital discharge day management, more than 30 minutes	16	15	$354.79	$104.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$300.00	$200.19

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	1,217	361	$116.19	$70.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	510	252	$145.00	$102.41
90935 Hemodialysis procedure with physician evaluation	286	106	$200.00	$71.19
90962 Dialysis services, 1 physician visit per month (20 years or older)	267	51	$400.00	$177.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	206	145	$207.44	$133.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	146	143	$317.81	$197.23
90966 Home dialysis services per month, patient 20 years of age or older	76	15	$500.00	$228.66
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$95.00	$69.64
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	25	19	$450.00	$230.35
99291 Critical care, first 30-74 minutes	23	21	$284.09	$184.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	18	$75.00	$38.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$300.00	$197.99

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	1,544	413	$117.51	$71.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	246	$145.00	$101.65
90935 Hemodialysis procedure with physician evaluation	348	115	$200.00	$71.44
90962 Dialysis services, 1 physician visit per month (20 years or older)	243	50	$400.00	$176.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	173	116	$181.35	$133.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	147	$301.35	$198.34
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	115	31	$450.00	$230.17
99213 Established patient office or other outpatient visit, typically 15 minutes	86	73	$95.00	$68.70
99291 Critical care, first 30-74 minutes	37	32	$175.00	$172.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	21	$75.00	$38.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$300.00	$198.18

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	1,421	403	$116.26	$67.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	621	274	$145.00	$97.48
90935 Hemodialysis procedure with physician evaluation	286	116	$200.00	$68.17
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	252	39	$450.00	$221.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	178	123	$179.38	$129.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	137	$302.15	$190.92
90962 Dialysis services, 1 physician visit per month (20 years or older)	131	40	$400.00	$169.56
99213 Established patient office or other outpatient visit, typically 15 minutes	85	70	$95.00	$66.03
99291 Critical care, first 30-74 minutes	57	47	$370.81	$178.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$300.00	$190.53
99220 Hospital observation care, typically 70 minutes	27	27	$1072.00	$174.61
99218 Hospital observation care typically 30 minutes	15	15	$743.00	$94.15
99225 Subsequent observation care, typically 25 minutes per day	13	13	$386.40	$68.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$74.75	$37.00

Medical Specialties & State Licenses

CMS Verified: 2026-03-12

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License OH 34.010025

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WV 2458

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License WV 2458

Internal Medicine - Hospice and Palliative Medicine

NUCC Taxonomy Code: 207RH0002X

State License OH 34.010025

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License KY 04204

Hospital & Practice Group Affiliations

Internal Medicine Care, Inc

1989 Miamisburg Centerville Rd, Dayton, OH 454593823

Phone: 9374290607

Holzer Clinic Llc

100 Jackson Pike, Gallipolis, OH 456311560

Phone: 7404465050

Secondary Practice Locations

367 County Road 406 Ste 101

South Point, OH 456808766

Phone: 7408940830

98 State St

Proctorville, OH 456698163

Phone: 8554465937

137 Pine St

Gallipolis, OH 456311536

Phone: 8008815101

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alex Somerville , DO

Family Medicine

NPI 1003511510

Doctor of Osteopathic Medicine (D.O.)

Dr. Utpal Bhanja , MD

Internal Medicine - Hematology & Oncology

NPI 1003801689

Doctor of Medicine (M.D.)

David Grimm , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003906421

Certified Registered Nurse Anesthetist

Dr. Jeremy Cuzzourt , MD

Otolaryngology

NPI 1013948694

Doctor of Medicine (M.D.)

Dr. Charles Bishop , MD

Orthopaedic Surgery

NPI 1023428653

Doctor of Medicine (M.D.)

Kayla Shato

Nurse Practitioner

NPI 1033947320

Career & Practice History Timeline

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

21 Historical Events

📍

Updated Practice Location March 12, 2026

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 8554465937)

📍

Updated Business Mailing Address March 12, 2026

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311562 (Tel: 8554465937)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2026

Internal Medicine (License #34.010025 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2025

Internal Medicine (License #2458 in WV)

📍

Updated Practice Location November 07, 2024

Registered at 911 BYPASS RD BLDG A, PIKEVILLE, KY 415011602 (Tel: 6064303500)

📍

Updated Business Mailing Address November 07, 2024

Registered at PO BOX 432, PIKEVILLE, KY 415020432

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Internal Medicine (License #2458 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Internal Medicine (License #34.010025 in OH)

📍

Updated Practice Location January 23, 2020

Registered at 2828 1ST AVE STE 204, HUNTINGTON, WV 257021236 (Tel: 3045257111)

📍

Updated Business Mailing Address January 23, 2020

Registered at 2828 1ST AVE STE 204, HUNTINGTON, WV 257021236 (Tel: 3045257111)

✅

NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2017

Registered at 405 W GRAND AVE, DAYTON, OH 454054720 (Tel: 9377233200)

📍

Updated Business Mailing Address January 26, 2017

Registered at 9263 HERITAGE GLEN DR, MIAMISBURG, OH 453424489 (Tel: 9378292876)

👤

Provider Name / Credentials Updated January 26, 2017

Recorded as STACI SMITH, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Internal Medicine (License #2458 in WV)

✅

NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2016

Registered at 405 W GRAND AVE, DAYTON, OH 454054720 (Tel: 9377233200)

📍

Updated Business Mailing Address December 02, 2016

Registered at 9263 HERITAGE GLEN DR, MIAMISBURG, OH 453424489 (Tel: 9378292876)

👤

Provider Name / Credentials Updated December 02, 2016

Recorded as STACI SMITH, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Internal Medicine (License #58.001983 in OH)

🟢

Initial NPI Registration & Enumeration May 14, 2007

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: 1558576454

Entity Type:

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

Enumeration Date: May 14, 2007

Last Update: March 12, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311562

Phone: 8554465937

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.