MICHAEL SMITH (M.D.) – Otolaryngology Physician, NPI 1215043971
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for MICHAEL SMITH (M.D.)
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384693
Phone: (217) 238-6055
Fax: (217) 258-2216
Type: Mailing
1000 HEALTH CENTER DR STE 401
MATTOON, IL 61938
Phone: (217) 258-2409
Fax: (217) 258-2323
Type: Location
905 N Maple St
Effingham, IL 624016401
Phone: (217) 347-7077
Fax: (217) 347-7197
Type: Location
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-16
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 |
|---|---|---|---|---|
| I20100216000537 | I | Otolaryngology | IL | 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 |
|---|---|---|---|---|
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 115 | 111 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 101 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 69 | $0 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 66 | 66 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 66 | 66 | $0 |
Insurance plans in this area (ZIP 61938)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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