Active NPI 1255365565 Individual Practitioner Male Practitioner

Dr. Edward B Smith , MD

Surgery • Wauwatosa, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Smith, MD is a certified Surgery practicing in Wauwatosa, WI. With approximately 45 years of clinical experience since graduating from Indiana Medical College, School Of Medicine Of Purdue University in 1981, Dr. Smith delivers high-quality medical care to the local community at 3289 N MAYFAIR RD.

Dr. Smith is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, follow-up hospital inpatient care per day, 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

3289 N Mayfair Rd

Wauwatosa, WI 532223203

Telephone 4147717900

Fax 4146076336

Associated Practice Facility / Clinic

🏢 Advanced Healthcare, S.c. Facility NPI 1104906288

Medicare Profile & Education

Medical School

Indiana Medical College, School Of Medicine Of Purdue University

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wauwatosa, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +19.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Wauwatosa, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (45 Years) 45 Yrs

Wauwatosa Specialty Average (25.3 Years) 25.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$510.00	$103.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	18	$245.00	$42.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$915.00	$154.80
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$350.00	$85.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$485.00	$104.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$875.00	$156.57
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$330.00	$82.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$235.00	$46.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$460.00	$105.66
99213 Established patient office or other outpatient visit, typically 15 minutes	27	19	$313.00	$86.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$835.00	$174.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$430.00	$104.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$220.00	$35.00
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$295.00	$88.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$790.00	$192.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$435.00	$125.83
49650 Repair of groin hernia using an endoscope	11	11	$3847.27	$385.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$407.00	$101.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$750.00	$198.54
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$281.00	$73.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$220.00	$38.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$415.36	$96.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$389.00	$104.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$217.00	$36.68
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$265.00	$62.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$401.86	$100.13
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$392.46	$89.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$721.00	$196.17

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	62	60	$374.00	$103.39
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$252.00	$69.93
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$395.50	$96.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$182.00	$39.64

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	70	69	$357.61	$102.76
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$240.00	$69.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$173.39	$41.59
49650 Repair of groin hernia using an endoscope	14	14	$3392.00	$358.27

Medical Specialties & State Licenses

CMS Verified: 2021-11-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 25439

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31706400 (WI)

Commercial Insurance / Payer ID Rr Medicare

P00465794 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

3289 N Mayfair Rd, Wauwatosa, WI 532223203

Phone: 4147717900

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Geetha Ganesan , MD

Internal Medicine

NPI 1003849407

Doctor of Medicine (M.D.)

Dr. Haroon Zubair , MD

Internal Medicine

NPI 1013295583

Doctor of Medicine (M.D.)

Dr. Glena Davies , MD

Pediatrics

NPI 1023036662

Doctor of Medicine (M.D.)

Dr. Priyanka Gimbel , MD

Family Medicine

NPI 1033559117

Doctor of Medicine (M.D.)

Dr. Ankur Patel , MD

Internal Medicine

NPI 1043327372

Doctor of Medicine (M.D.)

April Weber , FNP-BC

Nurse Practitioner - Family

NPI 1073092979

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 08, 2018

Registered at 3289 N MAYFAIR RD, WAUWATOSA, WI 532223203 (Tel: 4147717900)

📍

Updated Business Mailing Address October 08, 2018

Registered at 3289 N MAYFAIR RD, WAUWATOSA, WI 532223203 (Tel: 4147717900)

✅

NPI Profile Active December 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2010

Registered at N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 530512810 (Tel: 2622517500)

📍

Updated Business Mailing Address December 28, 2010

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 532092042 (Tel: 4143523100)

👤

Provider Name / Credentials Updated December 28, 2010

Recorded as EDWARD SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2010

Surgery (License #25439 in WI)

🟢

Initial NPI Registration & Enumeration July 10, 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: 1255365565

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: November 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3289 N Mayfair Rd

Wauwatosa, WI 532223203

Phone: 4147717900

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.