Active NPI 1962682351 Individual Practitioner Male Practitioner

Dr. Justin W Smith , MD

Internal Medicine • Waverly, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Justin Smith, MD is a certified Internal Medicine practicing in Waverly, OH. With approximately 19 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2007, Dr. Smith delivers high-quality medical care to the local community at 12340 STATE ROUTE 104.

Dr. Smith maintains professional affiliations with Adena Medical Group Llc, Premier Therapy And Health Centers Inc 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12340 State Route 104

Waverly, OH 456908968

Telephone 7409415150

Associated Practice Facility / Clinic

🏢 Adena Health System Facility NPI 1811174832

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waverly, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -7.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Waverly, OH (5516 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (19 Years) 19 Yrs

Waverly Specialty Average (26.0 Years) 26.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	342	$380.00	$85.21
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	227	197	$46.00	$15.44
83036 Hemoglobin A1C level	214	167	$48.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	180	124	$267.00	$65.12
G0008 Administration of influenza virus vaccine	96	95	$63.00	$30.41
90653 Vaccine for influenza for injection into muscle	89	89	$36.29	$35.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	68	28	$119.00	$38.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$382.68	$48.11
G0009 Administration of pneumococcal vaccine	53	53	$63.00	$30.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	53	53	$362.00	$288.27
81003 Automated urinalysis test	27	21	$17.00	$2.20
99443 Telephone medical discussion with physician, 21-30 minutes	25	20	$381.00	$117.96
99442 Telephone medical discussion with physician, 11-20 minutes	23	16	$268.00	$82.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$153.00	$49.66

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	873	378	$380.00	$88.76
99213 Established patient office or other outpatient visit, typically 15 minutes	231	167	$267.00	$71.48
83036 Hemoglobin A1C level	191	137	$48.00	$9.52
G0008 Administration of influenza virus vaccine	91	89	$63.00	$29.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	77	77	$102.00	$75.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$386.00	$49.24
G0009 Administration of pneumococcal vaccine	36	36	$63.00	$29.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	19	$119.00	$39.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$150.00	$130.80
81003 Automated urinalysis test	22	20	$17.00	$2.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	14	$154.00	$50.28

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	837	375	$278.81	$83.70
83036 Hemoglobin A1C level	204	153	$48.00	$9.48
99213 Established patient office or other outpatient visit, typically 15 minutes	189	140	$209.06	$69.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$244.14	$41.05
G0008 Administration of influenza virus vaccine	100	99	$46.28	$27.97
90662 Influenza vaccine split virus, preservative free	95	94	$100.00	$66.96
99443 Telephone medical discussion with physician, 21-30 minutes	78	70	$260.80	$125.46
99442 Telephone medical discussion with physician, 11-20 minutes	66	53	$196.24	$88.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	42	20	$122.93	$39.73
G0009 Administration of pneumococcal vaccine	28	28	$42.57	$28.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$148.59	$51.48
90670 Pneumococcal vaccine for injection into muscle	17	17	$360.00	$252.18
81003 Automated urinalysis test	16	15	$17.00	$2.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$150.00	$131.77

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	909	416	$255.84	$126.68
99213 Established patient office or other outpatient visit, typically 15 minutes	179	139	$193.31	$89.21
83036 Hemoglobin A1C level	161	136	$48.00	$9.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$240.00	$130.76
G0008 Administration of influenza virus vaccine	115	115	$41.00	$16.19
99443 Telephone medical discussion with physician, 21-30 minutes	108	82	$256.00	$127.07
90662 Influenza vaccine split virus, preservative free	107	107	$100.00	$64.53
99442 Telephone medical discussion with physician, 11-20 minutes	79	65	$194.00	$88.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	46	20	$124.00	$40.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	31	$148.00	$51.73
G0009 Administration of pneumococcal vaccine	27	27	$41.00	$16.15
99441 Telephone medical discussion with physician, 5-10 minutes	26	25	$128.00	$54.59
81003 Automated urinalysis test	20	20	$17.00	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$150.00	$123.78
90670 Pneumococcal vaccine for injection into muscle	13	13	$360.00	$237.06
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$20.44

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	799	411	$256.00	$105.28
99443 Telephone medical discussion with physician, 21-30 minutes	312	208	$212.70	$106.92
99213 Established patient office or other outpatient visit, typically 15 minutes	161	123	$194.29	$73.44
83036 Hemoglobin A1C level	152	123	$48.00	$9.65
G0008 Administration of influenza virus vaccine	148	145	$41.00	$15.72
90662 Influenza vaccine split virus, preservative free	134	132	$100.00	$59.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$240.00	$112.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	89	33	$124.00	$39.77
99442 Telephone medical discussion with physician, 11-20 minutes	63	54	$154.05	$72.60
G0009 Administration of pneumococcal vaccine	40	40	$41.00	$15.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	27	$148.00	$52.11
90670 Pneumococcal vaccine for injection into muscle	25	25	$360.00	$214.60
81003 Automated urinalysis test	19	18	$17.00	$2.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$150.00	$119.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$40.00	$18.18
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$128.00	$44.55

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	1,138	467	$256.00	$104.06
99213 Established patient office or other outpatient visit, typically 15 minutes	382	231	$194.00	$71.71
83036 Hemoglobin A1C level	232	157	$48.00	$10.53
G0008 Administration of influenza virus vaccine	147	147	$41.00	$15.75
90662 Influenza vaccine split virus, preservative free	130	130	$94.09	$53.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$240.00	$112.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	122	45	$124.00	$39.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	61	46	$148.00	$51.58
G0009 Administration of pneumococcal vaccine	44	44	$41.00	$15.39
81003 Automated urinalysis test	35	31	$17.00	$2.44
90670 Pneumococcal vaccine for injection into muscle	31	31	$236.52	$202.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	15	$51.00	$16.03
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$37.75	$16.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$132.15	$111.44
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$71.00	$16.37

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	1,046	467	$256.00	$103.28
99213 Established patient office or other outpatient visit, typically 15 minutes	652	345	$194.00	$69.79
83036 Hemoglobin A1C level	278	175	$48.00	$11.75
G0008 Administration of influenza virus vaccine	169	167	$41.00	$19.30
90662 Influenza vaccine split virus, preservative free	146	144	$52.00	$50.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	113	36	$124.00	$39.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$240.00	$111.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	53	$148.00	$51.51
81003 Automated urinalysis test	54	43	$17.00	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	21	$51.00	$19.40
G0009 Administration of pneumococcal vaccine	36	35	$41.00	$19.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$25.00	$17.16
90670 Pneumococcal vaccine for injection into muscle	22	22	$228.00	$198.79
20610 Aspiration and/or injection of fluid from large joint	20	17	$176.00	$58.76
J1040 Injection, methylprednisolone acetate, 80 mg	20	17	$77.00	$12.94
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$97.00	$50.28
69209 Removal of impacted ear wax by washing	15	14	$40.80	$16.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$121.00	$105.59
90471 Administration of 1 vaccine	13	13	$62.00	$16.41

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	1,019	453	$256.00	$102.56
99213 Established patient office or other outpatient visit, typically 15 minutes	617	322	$194.00	$69.57
83036 Hemoglobin A1C level	202	143	$48.00	$12.99
G0008 Administration of influenza virus vaccine	152	146	$41.00	$23.76
90662 Influenza vaccine split virus, preservative free	140	135	$52.00	$47.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	137	39	$124.00	$39.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	90	71	$148.00	$51.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$240.00	$110.51
G0009 Administration of pneumococcal vaccine	58	56	$41.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	42	42	$228.00	$181.59
81003 Automated urinalysis test	39	35	$17.00	$2.94
90471 Administration of 1 vaccine	34	32	$62.00	$22.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	15	$51.00	$23.89
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$25.00	$17.80
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$97.00	$49.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$121.00	$96.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$340.00	$158.94
17000 Destruction of skin growth	15	15	$254.00	$59.46
J1040 Injection, methylprednisolone acetate, 80 mg	11	11	$77.00	$11.33
20610 Aspiration and/or injection of fluid from large joint	11	11	$176.00	$55.46

Medical Specialties & State Licenses

CMS Verified: 2020-12-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.093541

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.

Hospital & Practice Group Affiliations

Adena Medical Group Llc

455 N Shawnee Lane, Chillicothe, OH 456019031

Phone: 7407794888

Premier Therapy And Health Centers Inc

7700 Ohio River Rd, Wheelersburg, OH 456941653

Phone: 7405744616

Adena Medical Group Llc

272 Hospital Rd, Chillicothe, OH 456019031

Adena Medical Group Llc

110 Vaugh Lane, Chillicothe, OH 45601

Phone: 7407797201

Adena Medical Group Llc

100 N Walnut St, Chillicothe, OH 456019031

Phone: 7407794500

Adena Medical Group Llc

12340 State Route 104, Waverly, OH 456908968

Phone: 7409415180

Practice Associates & Co-Workers

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

12 Associated Practitioners

Carie Johnson , APRN, NP-C

Nurse Practitioner - Family

NPI 1003351024

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Anthony Wells , AT, C

Specialist/Technologist - Athletic Trainer

NPI 1124205505

Angelina Hardiesty-Kelley , RN

Registered Nurse

NPI 1174869572

Registered Nurse

Heather Mckee , FNP

Nurse Practitioner - Family

NPI 1376883538

Family Nurse Practitioner

Dr. Harry Kittaka , MD

Family Medicine

NPI 1437176286

Doctor of Medicine (M.D.)

Dr. Mishel Simoni , MD

Family Medicine

NPI 1447836549

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2010

Registered at 12340 STATE ROUTE 104, WAVERLY, OH 456908968 (Tel: 7409415150)

📍

Updated Business Mailing Address July 20, 2010

Registered at 12340 STATE ROUTE 104, WAVERLY, OH 456908968 (Tel: 7409415150)

👤

Provider Name / Credentials Updated July 20, 2010

Recorded as JUSTIN SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2010

Internal Medicine (License #35.093541 in OH)

🟢

Initial NPI Registration & Enumeration November 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: 1962682351

Entity Type:

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

Enumeration Date: November 14, 2007

Last Update: December 21, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12340 State Route 104

Waverly, OH 456908968

Phone: 7409415150

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.