Individual provider Active NPI

Scott D Smith, DPM

  • Podiatrist
  • Monterey, CA
National Provider Identifier
1205994423
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4377 Issued in CA
Practice address
12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone
(831) 648-7200
Fax
(831) 648-7204
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4377 CA
Podiatrist 213E00000X E4377 CA Primary

Addresses

Primary practice location

12 Upper Ragsdale Dr
Monterey, CA 93940-5730

Mailing address

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

Other practice location 1

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

Other practice location 2

2 Upper Ragsdale Dr B100
Monterey, CA 93940
Phone (831) 649-3338

Other identifiers 1

IdentifierTypeStateIssuer
000E43770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000445 CA Practitioner - Podiatry 5597717447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians
Montage Surgical GroupGroup PAC ID 2769970839, 17 clinicians

Practice addresses (Care Compare)

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue20
Removal of skin lesions26
Removal of nail tissue142
Removal or shaving of skin growth102
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4377CAMDFuneral Director
E4377CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince Jun 1, 2012 Accepting new patients
Montage Surgical Group CurrentSince Jul 25, 2025 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jun 1, 2012 Accepting new patients
Monterey Peninsula Orthopaedic and Sports Medicine Institute Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

10 Harris Ct
Ste A1
Monterey, CA 93940
Phone (831) 643-9788

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

2524 H Dela Rosa SR St
Soledad, CA 93960
Phone (831) 596-6500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: scott.smith.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1205994423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-648-7200",
            "fax_number": "831-648-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-648-7200",
            "fax_number": "831-648-7204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Lower Ragsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405827",
            "country_code": "US",
            "telephone_number": "831-648-7200",
            "fax_number": "831-648-7204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Upper Ragsdale Dr B100",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "93940",
            "country_code": "US",
            "telephone_number": "831-649-3338",
            "fax_number": "831-649-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4377",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.