MARK ALAN SMITH (DPM) – Podiatrist, NPI 1093885378

MARK ALAN SMITH (DPM) is a healthcare provider. based in Peoria, Illinois. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. 016004790 (IL). The NPI Number for MARK ALAN SMITH (DPM) is 1093885378

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALAN SMITH (DPM)
NPI
1093885378
Phone
(309) 691-5800
Address
3322 W WILLOW KNOLLS DR
Enumeration Date
8 November 2006
Last Update Date
3 December 2009

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
3096915800
Graduation Year
1996 (30 years ago)
PAC ID
5294798955
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20100326000968
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARK ALAN SMITH (DPM)

  • 3322, West Willow Knolls Drive, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 61614

    Phone: (309) 691-5800

    Fax: (309) 691-1336

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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
G0127Trimming of dystrophic nails, any number206177$0
11056Removal of noncancer thickened skin growth, 2-4 growths145124$0
11719Trimming of fingernails or toenails5954$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
11055Removal of noncancer thickened skin growth, 1 growth2222$0
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Insurance plans in this area (ZIP 61614)

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Provider's Procedures

MARK ALAN SMITH (DPM) performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11042Removal of skin and tissue first 20 sq cm or less11113
PODIATRYIL73630X-ray of foot, minimum of 3 views7157

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: 3678889789View full group profile

Reviews

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Frequently asked questions

Where can patients find MARK ALAN SMITH (DPM)'s NPI?
You can confirm MARK ALAN SMITH (DPM) with NPI 1093885378; it appears in the national provider directory.
Is MARK ALAN SMITH (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MARK ALAN SMITH (DPM)'s specialty in plain language?
Clinically, the directory lists MARK ALAN SMITH (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is MARK ALAN SMITH (DPM)'s primary listing?
We display Peoria, Illinois because that is what the record indicates for MARK ALAN SMITH (DPM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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