DR. JON B SMUCKER (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1093918476

DR. JON B SMUCKER (MD) is a healthcare provider. based in Elkhart, Indiana. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 10167873A (IN). The NPI Number for DR. JON B SMUCKER (MD) is 1093918476

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON B SMUCKER (MD)
NPI
1093918476
Phone
(574) 264-0791
Address
2310 CALIFORNIA RD STE A
Enumeration Date
6 June 2007
Last Update Date
20 March 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5742640791
Graduation Year
2004 (22 years ago)
PAC ID
0840325171
Group Practice PAC ID
0840260105
Professional Enrollment ID
I20100826000454
Address ID
IN465141228EL2310XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

184 SPORTS MEDICINE in IN

Provider Addresses for DR. JON B SMUCKER (MD)

  • 2310 CALIFORNIA RD STE A

    ELKHART, IN 465141228

    Phone: (574) 264-0791

    Fax: (574) 262-9650

    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)

CMS reports 14 Open Payments records for all available years, with a total value of $11,683.

Total Amount is formed as General ($11,683) + Research ($0) + Ownership ($0) = $11,683.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Linvatec Corporation ($11,153).

Total Amount

$11,683

General + Research + Ownership

Payments

14

Total payment records

General Amount

$11,683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

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: 2010-08-26

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
I20100826000454ISports MedicineINTBD

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 minutes208125$0
J1100Injection, dexamethasone sodium phosphate, 1 mg18416$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg12827$0
20610Aspiration and/or injection of fluid from large joint9651$0
73030X-ray of shoulder, minimum of 2 views9370$0
View full utilization report →

Insurance plans in this area (ZIP 46514)

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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: 0840260105View full group profile
NameSpecialtyState
-IN
Sports Medicine, Family PracticeIN
Occupational Therapist In Private PracticeIL
P O D I A T R YIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Physician AssistantIN
Pain Management, AnesthesiologyIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I cross-check DR. JON B SMUCKER (MD) using NPI 1093918476?
NPI 1093918476 belongs to DR. JON B SMUCKER (MD); compare other details if you need extra assurance.
Is there an active status for DR. JON B SMUCKER (MD)?
For scheduling context, DR. JON B SMUCKER (MD) is shown as active in the registry.
What expertise is attributed to DR. JON B SMUCKER (MD)?
DR. JON B SMUCKER (MD)'s specialty line reads Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JON B SMUCKER (MD)?
Travel planning: use Elkhart, Indiana as the reference point for DR. JON B SMUCKER (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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