DR. JEFFREY SMITH (DO) – Family Medicine Physician, NPI 1063528974
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $38 |
| PFIZER INC. | $21 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080801000600 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 16 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32114)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL | |
| Family Practice | FL |
Reviews
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