David Ian Smith, DO - Medicare Sports Medicine in Maple Grove, MN

David Ian Smith, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Maple Grove, Minnesota. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Fairview Specialty Services, Fairview Express Care, University Of Minnesota Health Clinics And Surgery Center Inc and his current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

David Ian Smith is licensed to practice in Minnesota (license number 59986) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316239361.

Contact Information

David Ian Smith, DO
9555 Upland Ln N,
Maple Grove, MN 55369-4485
(952) 831-8742
Not Available

Map and Direction




Physician's Profile

Full NameDavid Ian Smith
GenderMale
SpecialitySports Medicine
Experience15 Years
Location9555 Upland Ln N, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Ian Smith graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1316239361
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 09/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6103136924
  • Enrollment ID: I20151106002002

Medical Identifiers

Medical identifiers for David Ian Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316239361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 59986 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Hospital UniversityMinneapolis, MNHospital
M Health Fairview Northland Medical CenterPrinceton, MNHospital
M Health Fairview Southdale HospitalEdina, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Specialty Services3072083286303
Fairview Express Care33756451791946
University Of Minnesota Health Clinics And Surgery Center Inc9133423304612

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Ian Smith allows following entities to bill medicare on his behalf.
Entity NameUniversity of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity of Minnesota Health Clinics and Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524
Entity NameFairview Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588543862
PECOS PAC ID: 3072083286
Enrollment ID: O20260529000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Ian Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Ian Smith, DO
8170 33rd Ave S,
Bloomington, MN 55425-4516

Ph: Not Available
David Ian Smith, DO
9555 Upland Ln N,
Maple Grove, MN 55369-4485

Ph: (952) 831-8742

Reviews and Comments


Family Medicine Doctors in Maple Grove, MN

David Jewison, M.D.
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Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369
Phone: 952-831-8742    
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Moushumi Meher, M.D.
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Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369
Phone: 763-587-7900    Fax: 763-494-7501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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