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Deactivated NPI 1699714485 Deactivated / Inactive NPI Male Practitioner

Dr. Christopher T Smith , MD

Colon & Rectal Surgery • New Berlin, WI

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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. Christopher Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date September 09, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Smith, MD was a registered Colon & Rectal Surgery practicing in New Berlin, WI. Throughout an active medical career spanning 16 years, Dr. Smith provided care at the practice location at 14555 W. NATIONAL AVE until profile deactivation on 2022-09-09.

Historical Medicare Part B clinical services included biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, diagnostic exam of large bowel using a flexible endoscope, subsequent hospital care with moderate levelof medical decision making, 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

14555 W. National Ave
#192

New Berlin, WI 531518414

Telephone 2628272959
Fax 2628272948
Associated Practice Facility / Clinic
🏢 Lakeshore Medical Clinic, Llc Facility NPI 1962607366

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in New Berlin, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
1 Specialists

Practicing in New Berlin, WI (33 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.4% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
15 14 $1900.00 $113.30
45378 Diagnostic exam of large bowel using a flexible endoscope
11 11 $1950.00 $179.96

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License WI 45707-020

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Arlen Delp , DO

Family Medicine

NPI 1033297528

Doctor of Osteopathic Medicine (D.O.)

Lisa Neerhof , RD

Dietitian, Registered

NPI 1346512050

Registered Dietitian

Mary Carroll , RD

Dietitian, Registered

NPI 1760527386

Registered Dietitian

Dr. David Blake , MD

Internal Medicine - Hematology

NPI 1831161348

Doctor of Medicine (M.D.)

NPI 1912085416

Doctor of Medicine (M.D.)

Jane Gresser , PA-C

Physician Assistant

NPI 1932127826

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated September 09, 2022

Record deactivated on September 09, 2022

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Updated Practice Location July 14, 2022

Registered at 9430 PARK WEST BLVD STE 310, KNOXVILLE, TN 379234203 (Tel: 8656905263)

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Updated Business Mailing Address July 14, 2022

Registered at PO BOX 52948, KNOXVILLE, TN 379502948 (Tel: 8653065700)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2022

Surgery (License #65841 in TN)

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2012

Registered at 14555 W. NATIONAL AVE, #192, NEW BERLIN, WI 531518414 (Tel: 2628272959)

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Updated Business Mailing Address October 03, 2012

Registered at 100 15TH AVE, #180, SOUTH MILWAUKEE, WI 531721160 (Tel: 4147685430)

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Provider Name / Credentials Updated October 03, 2012

Recorded as CHRISTOPHER SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Colon & Rectal Surgery (License #45707-020 in WI)

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Initial NPI Registration & Enumeration June 06, 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: 1699714485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: October 03, 2012
Deactivation Date: September 09, 2022

Mailing Address

100 15th Ave, #180

South Milwaukee, WI 531721160

Phone: 4147685430

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.