MATTHEW J SMITH (MD) – Family Medicine Physician, NPI 1609876507

MATTHEW J SMITH (MD) is a healthcare provider. based in Waterloo, Iowa. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 34208 (IA). The NPI Number for MATTHEW J SMITH (MD) is 1609876507

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J SMITH (MD)
NPI
1609876507
Phone
(319) 235-3568
Address
1753 W RIDGEWAY AVE STE 103A
Enumeration Date
21 July 2005
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3192353568
Graduation Year
2000 (26 years ago)
PAC ID
1355322199
Group Practice PAC ID
8022402411
Professional Enrollment ID
I20040526001718
Address ID
IA507014521WA1753XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for MATTHEW J SMITH (MD)

  • 103, West Ridgeway Avenue, Waterloo, Black Hawk County, Iowa, 50701, United States

    WATERLOO, IA 507014521

    Phone: (319) 235-3568

    Fax: (319) 235-5013

    Type: Location

  • PO BOX 2818

    WATERLOO, IA 507042818

    Phone: (319) 235-3568

    Fax: (319) 235-5013

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 457 Open Payments records for all available years, with a total value of $8,007.

Total Amount is formed as General ($8,007) + Research ($0) + Ownership ($0) = $8,007.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($1,331).

Total Amount

$8,007

General + Research + Ownership

Payments

457

Total payment records

General Amount

$8,007

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-05-26

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
I20040526001718IFamily PracticeIATBD

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 minutes381214$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit236236$0
G0444Annual depression screening, 5 to 15 minutes225225$0
99214Established patient office or other outpatient visit, 30-39 minutes161141$0
G0008Administration of influenza virus vaccine136136$0
View full utilization report →

Insurance plans in this area (ZIP 50701)

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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: 8022402411View full group profile
NameSpecialtyState
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do I look up MATTHEW J SMITH (MD) by NPI?
Use NPI 1609876507 when you need to reference MATTHEW J SMITH (MD) in forms, claims, or directories.
Does this profile mean MATTHEW J SMITH (MD) is currently active?
Yes — MATTHEW J SMITH (MD) appears active in the national provider directory.
Can you summarize MATTHEW J SMITH (MD)'s specialty in plain language?
Clinically, the directory lists MATTHEW J SMITH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATTHEW J SMITH (MD)?
The page summarizes Waterloo, Iowa for MATTHEW J SMITH (MD); expand the address list for detail.
How can I contact MATTHEW J SMITH (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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