NPIMap

Individual provider Active NPI

Judd Michael Smith, M.D.

  • Orthopaedic Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1316280944
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2019009679 Issued in MO
Practice address
3107 Frederick Ave Ste B
Saint Joseph, MO 64506-3082
Phone
(816) 233-9888
Fax
(816) 233-9888
NPI assigned
Apr 2, 2013
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 2019009679 MO Primary

Addresses

Primary practice location

3107 Frederick Ave Ste B
Saint Joseph, MO 64506-3082

Mailing address

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7099

Other practice location 1

114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-2525

Other practice location 2

301 E Price Ave
Savannah, MO 64485-2427
Phone (816) 432-0006

Other practice location 3

2016 S Main St
Maryville, MO 64468
Phone (660) 562-7099

Other practice location 4

2016 S Main St
Maryville, MO 64468
Phone (660) 562-7099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725002966 MO Practitioner - Orthopedic Surgery 3779880323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Medicine Center LLCGroup PAC ID 5294700449, 20 clinicians

Practice addresses (Care Compare)

3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-3082
Phone (816) 233-9888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Quality
89.08
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement43
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019009679MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center LLC Orthopaedic Surgery CurrentSince Sep 16, 2019 Accepting new patients
Orthopedic & Sports Medicine Center, LLC Orthopaedic Surgery CurrentSince Sep 16, 2019 Accepting new patients
St Joseph Center for Outpatient Surgery, LLC Current Accepting new patients

Locations

3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 8

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1316280944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682655",
            "telephone_number": "660-562-7099",
            "fax_number": "660-562-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE STE B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063082",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E South Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682659",
            "country_code": "US",
            "telephone_number": "660-562-2525",
            "fax_number": "660-562-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Price Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644852427",
            "country_code": "US",
            "telephone_number": "816-432-0006",
            "fax_number": "816-432-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "64468",
            "country_code": "US",
            "telephone_number": "660-562-7099",
            "fax_number": "660-562-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "64468",
            "country_code": "US",
            "telephone_number": "660-562-7099",
            "fax_number": "660-562-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUDD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2019009679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.