Individual provider Active NPI

F Matthew Smith, MD

  • Plastic Surgery Physician
  • Traverse City, MI
National Provider Identifier
1285614032
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301067433 Issued in MI
Practice address
5085 Anna Dr Ste a
Traverse City, MI 49684-7475
Phone
(231) 935-0180
Fax
(231) 935-0099
NPI assigned
Jan 18, 2006
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ES067433 MI
Plastic Surgery Physician 208200000X 4301067433 MI Primary

Addresses

Primary practice location

5085 Anna Dr Ste a
Traverse City, MI 49684-7475

Mailing address

5085 Anna Dr Ste a
Traverse City, MI 49684-7475
Phone (231) 935-0180

Other practice location 1

5085 Anna Dr Ste B&c
Traverse City, MI 49684-7475
Phone (231) 935-5900

Other identifiers 1

IdentifierTypeStateIssuer
103495242MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001013 MI Practitioner - Plastic and Reconstructive Surgery 6103894688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

5085 Anna Dr
Suite a
Traverse City, MI 49684-7475
Phone (231) 935-0180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision11
Removal of tissue1-10
Removal of skin lesions19
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301067433MIMDPlastic Surgery Physician
ES067433MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Mar 12, 2022 Accepting new patients
Munson Medical Center Plastic Surgery CurrentSince Mar 12, 2022 Accepting new patients
Northwestern Michigan Emergency Physicians PC PastSince Jul 20, 1998 Accepting new patients
Munson Medical Center PastSince Jan 19, 2020 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

5085 Anna Dr
Ste A
Traverse City, MI 49684
Phone (231) 935-0180

5085 Anna Dr
Ste C
Traverse City, MI 49684
Phone (231) 935-0727

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1285614032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 ANNA DR STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847475",
            "telephone_number": "231-935-0180",
            "fax_number": "231-935-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 ANNA DR STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847475",
            "telephone_number": "231-935-0180",
            "fax_number": "231-935-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5085 Anna Dr Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847475",
            "country_code": "US",
            "telephone_number": "231-935-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "F",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "ES067433",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301067433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103495242",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.