DR. JEFFREY SMITH (DO) – Family Medicine Physician, NPI 1063528974

DR. JEFFREY SMITH (DO) is a healthcare provider. based in Daytona beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS10138 (FL). The NPI Number for DR. JEFFREY SMITH (DO) is 1063528974

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY SMITH (DO)
NPI
1063528974
Phone
(386) 238-3293
Address
320 N CLYDE MORRIS BLVD STE A
Enumeration Date
22 August 2006
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3867361948
Graduation Year
2001 (25 years ago)
PAC ID
5395819767
Group Practice PAC ID
9436201233
Professional Enrollment ID
I20080801000600
Address ID
FL321142744DA320XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. JEFFREY SMITH (DO)

  • 320 N CLYDE MORRIS BLVD STE A

    DAYTONA BEACH, FL 321142758

    Phone: (386) 238-3293

    Type: Mailing

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 320, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    SUITE A

    DAYTONA BEACH, FL 321142744

    Phone: (386) 238-3293

    Fax: (386) 238-3223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($38).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080801000600IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2416$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436201233View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. JEFFREY SMITH (DO) listed with a National Provider Identifier?
Yes — DR. JEFFREY SMITH (DO) has NPI 1063528974 on file in the registry.
Active or inactive — what applies to DR. JEFFREY SMITH (DO)?
You should see DR. JEFFREY SMITH (DO) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JEFFREY SMITH (DO)?
DR. JEFFREY SMITH (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEFFREY SMITH (DO)?
Travel planning: use Daytona Beach, Florida as the reference point for DR. JEFFREY SMITH (DO), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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