Individual provider Active NPI

Triston BBJ Smith, MD

  • Interventional Cardiology Physician
  • Saint Clairsville, OH
National Provider Identifier
1376851519
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.140919 Issued in OH
Practice address
106 Plaza Dr
Saint Clairsville, OH 43950-6700
Phone
(800) 318-7179
Fax
(234) 285-6816
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT193015 PA
Interventional Cardiology Physician 207RI0011X 35.140919 OH Primary

Addresses

Primary practice location

106 Plaza Dr
Saint Clairsville, OH 43950-6700

Mailing address

380 Summit Ave., Mso Physician Billing
Steubenville, OH 43952-2667
Phone (740) 283-7597

Other practice location 1

109 Plaza Dr
Saint Clairsville, OH 43950-7713
Phone (800) 318-1794

Other identifiers 1

IdentifierTypeStateIssuer
0135402MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201202002342 OH Practitioner - Cardiovascular Disease (Cardiology) 2062720865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity WestGroup PAC ID 5496648875, 145 clinicians

Practice addresses (Care Compare)

106 Plaza Dr
Saint Clairsville, OH 43950-6700
Phone (740) 695-5955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
48.02
Promoting interoperability
91
Improvement activities
40
Cost
71.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193015PAMDInternal Medicine Physician
35.140919OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity West CurrentSince Jan 1, 2021 Accepting new patients
Trinity West CurrentSince Jan 1, 2021 Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

82424 Cadiz Jewett Rd
Cadiz, OH 43907
Phone (740) 320-4048

109 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 695-5200

106 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 296-5159

4100 Johnson Rd
Ste 206
Steubenville, OH 43952
Phone (740) 266-6774

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: triston.smith@tpg.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1376851519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE., MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439506700",
            "telephone_number": "800-318-7179",
            "fax_number": "234-285-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439507713",
            "country_code": "US",
            "telephone_number": "800-318-1794",
            "fax_number": "234-285-6816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISTON",
        "middle_name": "BBJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193015",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.140919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135402",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.