DR. PAMELA WARTAIN SMITH M.D.
NPI 1396859450
Internal Medicine in Rochester Hills, MI
NPI Status: Active since August 18, 2006
Contact Information
441 S LIVERNOIS RD
SUITE 100
ROCHESTER HILLS, MI
ZIP 48307
Phone: (313) 884-3288
Fax: (313) 884-3557
- Individual
- Female
- Internal Medicine
- PECOS Enrolled
- Opted-Out Medicare
About PAMELA SMITH
This page provides the complete NPI Profile along with additional information for Pamela Smith, an internist established in Rochester Hills, Michigan with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396859450 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number PS044444 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1396859450
- Provider Name
- DR. PAMELA WARTAIN SMITH M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 441 S LIVERNOIS RD SUITE 100 ROCHESTER HILLS, MI 48307
- Location Phone
- (313) 884-3288
- Location Fax
- (313) 884-3557
- Mailing Address
- 441 S LIVERNOIS RD SUITE 100 ROCHESTER HILLS, MI 48307
- Mailing Phone
- (313) 884-3288
- Mailing Fax
- (313) 884-3557
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Pamela Smith is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Pamela Smith opted out of Medicare effective on 02-15-2016 until 02-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- PS044444
- License State
- MI
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 092602 | MEDICARE UPIN (02) | ||
| 39OF329890 | OTHER (01) | MI | GROUP |
Medicare Participation & PECOS Enrollment Status
Pamela Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-15-2016
Opt-Out End Date: 02-15-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48307 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. PAMELA WARTAIN SMITH M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 8 | 5 | 9 | 4 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 5 | 18 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 5 + 1 + 8 + 4 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1396859450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235131160 | DR. BRIGITTE LORENZ MD Individual | Obstetrics & Gynecology | 441 S LIVERNOIS RD #175 ROCHESTER HILLS, MI 48307 (248) 601-2688 |
| 1356325468 | DR. JOEL L YOUNG MD Individual | Psychiatry & Neurology (Psychiatry) | 441 S LIVERNOIS RD STE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1609855204 | DR. STEVEN P UTECHT DDS Individual | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 245 ROCHESTER HILLS, MI 48307 (248) 651-7312 |
| 1700844891 | DR. DAVID NEIL WOLIUNG D.D.S. Individual | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 245 ROCHESTER HILLS, MI 48307 (248) 651-6400 |
| 1497774731 | MRS. MINDY LAYNE YOUNG M.S.W., C.S.W. Individual | Social Worker (Clinical) | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1932117009 | MRS. DEBRA KAY GORNEY-JANKOWSKI MSN, RNCS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent) | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1679586150 | YVONNE RAE STUMPF APRN Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent) | 441 S LIVERNOIS RD ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1144313453 | DR. MARK ALAN KOWAL D.D.S. Individual | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 275 ROCHESTER HILLS, MI 48307 (248) 608-1300 |
| 1811080021 | DR. DEBRA JEAN HIBBELN D.D.S. Individual | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 275 ROCHESTER HILLS, MI 48307 (248) 608-1300 |
| 1811054158 | MRS. CHARISSE LYNN FLOREK MA, LLP, LPC Individual | Counselor (Professional) | 441 S LIVERNOIS RD STE. 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1568510089 | MISS JAIME MICHELLE SAAL M.A. Individual | Counselor (Mental Health) | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1023163136 | DR. PAUL VANRAAPHORST DDS, MS, PC. Individual | Dentist (Periodontics) | 441 S LIVERNOIS RD SUITE 280 ROCHESTER HILLS, MI 48307 (248) 656-3200 |
| 1346375755 | JESSIE SPITSBERGEN Individual | Counselor | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1003947813 | MS. JUDITH CANVASSER REDMOND LLP, LPC, MA Individual | Psychologist (Clinical) | 441 S LIVERNOIS RD ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1619001062 | BRIGITTE LORENZ MD PLLC Organization | Obstetrics & Gynecology (Obstetrics) | 441 S LIVERNOIS RD SUITE 175 ROCHESTER HILLS, MI 48307 (248) 601-2688 |
| 1174739718 | DIANA WOLF ABBOTT D.D.S., M.S., P.C. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 441 S LIVERNOIS RD SUITE 250 ROCHESTER HILLS, MI 48307 (248) 656-0040 |
| 1386818847 | DEBRA J HIBBELN AND MARK A KOWAL D.D.S. PLC Organization | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 275 ROCHESTER HILLS, MI 48307 (248) 608-1300 |
| 1245406198 | SAMER OBEID DMD P C Organization | Dentist (General Practice) | 441 S LIVERNOIS RD SUITE 210 ROCHESTER HILLS, MI 48307 (248) 652-1100 |
| 1912146333 | MS. KATHY O'ROURKE PRITCHARD LPC Individual | Counselor (Professional) | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
| 1457667651 | MRS. KAROLINA MARIA REDZINIAK MA, TLLP Individual | Psychologist (Family) | 441 S LIVERNOIS RD SUITE 205 ROCHESTER HILLS, MI 48307 (248) 608-8800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396859450, enumerated in the NPI registry as an "individual" on August 18, 2006
The provider is located at 441 S Livernois Rd Suite 100 Rochester Hills, Mi 48307 and the phone number is (313) 884-3288
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.28 with an average copayment of $33.57 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on February 15, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 15, 2026.
This NPI record was last updated on August 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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