DR. COLLEEN SMITH (MD) – Family Medicine Physician, NPI 1255330965
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for DR. COLLEEN SMITH (MD)
1 HEALTHY PL
SUITE 101
PATASKALA, OH 430627067
Phone: (220) 564-1900
Fax: (220) 564-1901
Type: Location
1 Healthy Pl Ste 101
Pataskala, OH 430627067
Phone: (220) 564-1907
Type: Location
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 $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Dexcom, Inc. ($62).
Total Amount
$62
General + Research + Ownership
Payments
1
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $62 |
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: 2008-04-29
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 |
|---|---|---|---|---|
| I20080429000002 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 40 | $0 |
| G0008 | Administration of influenza virus vaccine | 53 | 48 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 44 | 40 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
Insurance plans in this area (ZIP 43062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Emergency Medicine | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Pain Management | OH |
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