NPIMap

Individual provider Active NPI

Richard Lee Smith, M.D.

  • Family Medicine Physician
  • Carrollton, MO
National Provider Identifier
1861448664
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
107238 Issued in MO
Practice address
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone
(660) 542-9998
Fax
(660) 542-9880
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 107238 MO Primary

Addresses

Primary practice location

1502 N Jefferson St
Carrollton, MO 64633-1948

Mailing address

1502 N Jefferson St
Attn: Jean Steele
Carrollton, MO 64633-1948
Phone (660) 542-1695

Other practice location 1

221 Elm St
Hale, MO 64643-7113
Phone (660) 565-2602

Other practice location 2

807 E Broadway St
Brunswick, MO 65236-1468
Phone (660) 548-2012

Other identifiers 1

IdentifierTypeStateIssuer
208178913MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CCMHHIMDept@ccmhospital.cernerdirect.com Carroll County Memorial Hospital

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
I20080522000368 MO Practitioner - Family PracticePractitioner - Emergency Medicine 9931019189 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107238MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Medical Group Family Medicine CurrentSince Jun 23, 2008 Accepting new patients
Jefferson Medical Group Family Medicine CurrentSince Jun 23, 2008 Accepting new patients
Carroll County Memorial Hospital CurrentSince Sep 24, 2008 Accepting new patients
Brookfield Health Care Center, L.L.C. Past Accepting new patients
Anew Healthcare Operations - Brunswick, LLC Past Accepting new patients
United Investors LP Past Accepting new patients
Eldercare of Mid-Missouri IX, Inc. Past Accepting new patients
Western Missouri Nursing and Rehab LLC Past Accepting new patients
McLarney Healthcare LLC Past Accepting new patients
Pioneer Nursing, LLC Past Accepting new patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients
Brunswick Health Care Center, L.L.C. Past Accepting new patients
Carroll House, Inc. Past Accepting new patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients
Anew Healthcare Operations - Brookfield, LLC Past Accepting new patients
Waverly 1 Inc Past Accepting new patients

Locations

807 E Broadway St
Brunswick, MO 65236
Phone (660) 542-1695

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

221 Elm St
Hale, MO 64643
Phone (660) 542-1695

Interoperability endpoints

  • Direct secure messaging: ccmhhimdept@ccmhospital.cernerdirect.com
  • Direct secure messaging: richardsmith@ccmhospital.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Life Care Center of CarrolltonCarrollton, MO, CCN 265294 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 30, 2018
Mar 31, 2025
Stonebridge ChillicotheChillicothe, MO, CCN 265785 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 15, 2023
May 15, 2023

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll County Memorial Hospital 64 clinicians
Jefferson Medical Group 10 clinicians

Practice addresses (Care Compare)

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695

Hospital & facility affiliations

  • Saint Lukes Home Care Home health agency, Kansas City, MO, CCN 267195
  • Hometown Homecare Home health agency, Fayette, MO, CCN 267032
  • Shirkey Hospice and Palliative Care Hospice, Richmond, MO, CCN 261642
  • Three Rivers Hospice Hospice, Platte City, MO, CCN 261621
  • St. Croix Hospice Hospice, Moberly, MO, CCN 261570
  • Acg Hospice Hospice, Lee'S Summit, MO, CCN 261703
  • Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Stonebridge Chillicothe Nursing home, Chillicothe, MO, CCN 265785
  • Life Care Center of Carrollton Nursing home, Carrollton, MO, CCN 265294
  • Pioneer Skilled Nursing Center Nursing home, Marceline, MO, CCN 265169
  • Lutheran Nursing Home Nursing home, Concordia, MO, CCN 265765
  • Meyer Care Center Nursing home, Higginsville, MO, CCN 265667

Merit-based Incentive Payment System (MIPS)

Final score
69.76 of 100Reported as group
Quality
46.12
Promoting interoperability
100
Improvement activities
40
Cost
53.08

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1861448664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N JEFFERSON ST",
            "address_2": "ATTN: JEAN STEELE",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-1695",
            "fax_number": "660-542-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-9998",
            "fax_number": "660-542-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Elm St",
            "address_purpose": "LOCATION",
            "city": "Hale",
            "state": "MO",
            "postal_code": "646437113",
            "country_code": "US",
            "telephone_number": "660-565-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "MO",
            "postal_code": "652361468",
            "country_code": "US",
            "telephone_number": "660-548-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "107238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208178913",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCMHHIMDept@ccmhospital.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Carroll County Memorial Hospital",
            "address_1": "1502 N Jefferson St",
            "city": "Carrollton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "646331948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, MO

Sources for this page

Verify at the official NPI Registry.