Active NPI
John Quentin Smith, MD
- Orthopaedic Surgery Physician
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M8626
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806427100 | Medicaid | ID |
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
Enrollment records 1
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
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 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 88.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 24 |
| Knee replacement | 35 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M8626 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Fracture Clinic PA | Current | Accepting new patients | |
| Richard Lochhead MD PLLC | Current | Accepting new patients | |
| Petrie White Family Medicine of Idaho | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Treasure Valley Hospital | 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.
-
- Special Hospital
- Boise, ID
- NPI 1720040132
Limited Partnership Interest
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.
-
dba West Idaho Orthopedics & Sports Medicine
- Specialist
- Caldwell, ID
- NPI 1184739351
-
- Neurological Surgery Physician
- Boise, ID
- NPI 1588063168
-
dba Emmett Family Medicine and Direct Primary Care
- Family Medicine Physician
- Emmett, ID
- NPI 1447629555
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Special Hospital
- Boise, ID
- NPI 1720040132
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.