Individual provider Active NPI

John Quentin Smith, MD

  • Orthopaedic Surgery Physician
  • Caldwell, ID
National Provider Identifier
1447249131
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M8626 Issued in ID
Practice address
1906 Fairview Ave Ste 400
Caldwell, ID 83605-5424
Phone
(208) 459-4511
Fax
(208) 459-6602
NPI assigned
Oct 17, 2005
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M8626 ID Primary

Addresses

Primary practice location

1906 Fairview Ave Ste 400
Caldwell, ID 83605-5424

Mailing address

1906 Fairview Ave Ste 400
Caldwell, ID 83605-5424
Phone (208) 459-4511

Other identifiers 1

IdentifierTypeStateIssuer
806427100MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20051122000492 ID Practitioner - Orthopedic Surgery 3779561055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Fracture Clinic PAGroup PAC ID 7810800398, 6 clinicians

Practice addresses (Care Compare)

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 459-4511

1906 Fairview Ave
Suite 400
Caldwell, ID 83605-5424
Phone (208) 459-4511

3875 E Overland Rd
Meridian, ID 83642-9005
Phone (208) 459-4511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.51 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
88.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement35
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8626IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Fracture Clinic PA CurrentSince Sep 3, 2002 Accepting new patients
Richard Lochhead MD PLLC CurrentSince Aug 18, 2024 Accepting new patients
Petrie White Family Medicine of Idaho PastSince Oct 21, 2015 Accepting new patients

Locations

1906 Fairview Ave
Ste 400
Caldwell, ID 83605
Phone (208) 287-6627

206 E Elm St
Caldwell, ID 83605
Phone (208) 454-0505

2001 E Quail Run Rd
Emmett, ID 83617
Phone (208) 365-7131

1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600

3875 E Overland Rd
Meridian, ID 83642
Phone (208) 327-5600

3875 E Overland Rd
Ste 106
Meridian, ID 83642
Phone (208) 895-0888

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

Interoperability endpoints

  • Direct secure messaging: john.smith@1488.chartlogic.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Treasure Valley HospitalBoise, ID, CCN 130063 Hospital Limited Partnership Interest (0.23%) Jun 15, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1447249131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 400",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055424",
            "telephone_number": "208-459-4511",
            "fax_number": "208-459-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 400",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055424",
            "telephone_number": "208-459-4511",
            "fax_number": "208-459-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "QUENTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M8626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806427100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.