DR. STEPHEN ANDREW SMITH (M.D.) – Family Medicine Physician, NPI 1467716191

DR. STEPHEN ANDREW SMITH (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301101475 (MI). The NPI Number for DR. STEPHEN ANDREW SMITH (M.D.) is 1467716191

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN ANDREW SMITH (M.D.)
NPI
1467716191
Phone
Not provided
Address
400 EAST THIRD STREET
Enumeration Date
27 June 2012
Last Update Date
17 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2189997000
Graduation Year
2012 (14 years ago)
PAC ID
9739483637
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20160801002241
Address ID
MN557443537GR1542XRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

Provider Addresses for DR. STEPHEN ANDREW SMITH (M.D.)

  • 400 EAST THIRD STREET

    DULUTH, MN 558051950

    Phone:

    Type: Mailing

  • 1101 9TH ST N

    VIRGINIA, MN 557922329

    Phone: (218) 741-0150

    Type: Location

  • 22101 Moross Rd

    PB2 Suite 50

    Detroit, MI 482362148

    Phone: (313) 343-7774

    Type: Location

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: 2016-08-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160801002241IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes347179$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8585$0
99213Established patient office or other outpatient visit, 20-29 minutes7758$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2121$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What number should I use to identify DR. STEPHEN ANDREW SMITH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1467716191 for DR. STEPHEN ANDREW SMITH (M.D.).
Should I treat DR. STEPHEN ANDREW SMITH (M.D.) as an active provider?
Patients and plans typically see DR. STEPHEN ANDREW SMITH (M.D.) as active in the national extract.
What services align with DR. STEPHEN ANDREW SMITH (M.D.)'s listing?
DR. STEPHEN ANDREW SMITH (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STEPHEN ANDREW SMITH (M.D.)?
DR. STEPHEN ANDREW SMITH (M.D.) shows a connection to Duluth, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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