Terry A Smith, D.O.
Individual provider Active NPI Internal Medicine Physician · Polson, MT
NPI 1285740290 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1285740290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 7350 (MT)
- Practice address
- 106 Ridgewater Dr Ste a
Polson, MT 59860 - Phone
- (406) 883-3200
- Fax
- (406) 883-9483
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kalispell Regional Medical Center Inc
Practice addresses (Care Compare)
350 Heritage Way
Kalispell, MT 59901-3167
Hospital & facility affiliations
- Logan Health Medical Center
- Providence St Joseph Medical Center
- St. Patrick Hospital
- St Luke Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 27 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031216000439 | MT | Practitioner - Internal Medicine |
7719881432 | Reassigns benefits to 2 organizations |
| I20140603001067 | MT | Practitioner - Other (Physician) | 7719881432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7350 | MT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Montana Hospital | Emergency Medicine | Current | Accepting new patients |
| Kalispell Regional Medical Center Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients | |
| Providence Health & Services Mt | Internal Medicine | Past | Accepting new patients |
Locations
30 13th St
Havre, MT 59501
Phone (406) 262-1302
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
106 Ridgewater Dr
Ste B
Polson, MT 59860
Phone (406) 883-1911
106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7350 | MT | |
| Hospitalist Physician | 208M00000X | 7350 | MT | |
| Internal Medicine Physician | 207R00000X | 7350 | MT | Yes |
Addresses
Primary practice location
106 Ridgewater Dr Ste a
Polson, MT 59860
Mailing address
106 Ridgewater Dr Ste a
Polson, MT 59860-8977
Phone (406) 883-3200
Other practice location 1
6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680
Other practice location 2
6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Other providers in Polson, MT
- Wendy Sitter
- Adam T Smith
- Joseph Smith Jr.
- Linda Jean Smith
- Lisa Smith
- Todd James Smith
- Victoria J Smith
- Deborah H. Sogge-Kermani
- Carrie F Sorrell
- Aaron Duncan Sparks
All providers in Polson, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.