JOHN L SMITH (MD) – Family Medicine Physician, NPI 1124079900

JOHN L SMITH (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 17614 (NE). The NPI Number for JOHN L SMITH (MD) is 1124079900

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN L SMITH (MD)
NPI
1124079900
Phone
(402) 559-7200
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
15 May 2006
Last Update Date
22 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4026824210
Graduation Year
1985 (41 years ago)
PAC ID
5092850248
Group Practice PAC ID
5991054645
Professional Enrollment ID
I20100226000759
Address ID
NE680053663BE1804XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

954 FAMILY PRACTICE in NE

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Provider Addresses for JOHN L SMITH (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone: (402) 559-7200

    Fax: (402) 559-9344

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

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: 2010-02-26

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
I20100226000759IFamily PracticeNETBD

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 minutes10686$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8731$0
99213Established patient office or other outpatient visit, 20-29 minutes7873$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5930$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Provider's Procedures

JOHN L SMITH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle1212

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: 5991054645View full group profile
NameSpecialtyState
Internal MedicineNE
Internal Medicine, Geriatric MedicineNE
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
U R O L O G YNE
Family PracticeNE
Orthopedic SurgeryNE
Physical Medicine And RehabilitationNE
Family PracticeNE
Family PracticeNE

Reviews

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Frequently asked questions

Is there an official ID for JOHN L SMITH (MD) in U.S. healthcare records?
The official identifier for JOHN L SMITH (MD) is NPI 1124079900.
Is JOHN L SMITH (MD) still an active registrant?
JOHN L SMITH (MD) carries an active NPI according to the public dataset.
What area of care is associated with JOHN L SMITH (MD)?
JOHN L SMITH (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN L SMITH (MD)?
Directory geography for JOHN L SMITH (MD) centers on Omaha, Nebraska.
Can I trust this NPI listing for JOHN L SMITH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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