Individual provider Active NPI

Patrick A Smith, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Naples, FL
National Provider Identifier
1639162225
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME163665 Issued in FL
Practice address
11190 Health Park Blvd Ste 2102
Naples, FL 34110-5729
Phone
(239) 624-1700
Fax
(239) 624-0311
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME163665 FL Primary
Orthopaedic Surgery Physician 207X00000X R9F75 MO

Addresses

Primary practice location

11190 Health Park Blvd Ste 2102
Naples, FL 34110-5729

Mailing address

PO Box 112019
Naples, FL 34108-0134
Phone (239) 624-1700

Other practice location 1

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402 ext. 451

Other practice location 2

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone (239) 624-1700

Other identifiers 2

IdentifierTypeStateIssuer
81Y01OtherFLBCBS
124543300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241101002766 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4688762131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1285 Creekside Blvd E
Unit 102
Naples, FL 34109-0595
Phone (239) 624-8250

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Promoting interoperability
86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163665FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc Current Accepting new patients
Nchmd, Inc Orthopaedic Surgery CurrentSince Oct 28, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Oct 28, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

11190 Health Park Blvd
Bldg 2
Naples, FL 34110
Phone (239) 624-1700

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

11190 Health Park Blvd
Ste 2102
Naples, FL 34110
Phone (239) 624-1700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: psmith86690@nchhealthcaresystem.direct-ci.com

Organizations & group practices 5

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 2

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1639162225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112019",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080134",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 HEALTH PARK BLVD STE 2102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105729",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 S Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652017199",
            "country_code": "US",
            "telephone_number": "573-443-2402 x451",
            "fax_number": "573-443-0574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1285 Creekside Blvd E Unit 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341090595",
            "country_code": "US",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME163665",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R9F75",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81Y01",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124543300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.