Dr. Michael Smith , MD
Otolaryngology • Mattoon, IL
1005 Health Center Dr Ste 201
Mattoon, IL 619384653
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 22, 2006; this date does not establish years in practice.
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Published CMS data list 580 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 95811 — Sleep study in sleep lab with continuous airway pressure (6 years or older): 112 service units.
- 95806 — Sleep study including heart rate, breathing, airflow, and effort: 81 service units.
- 95810 — Sleep study in sleep lab (6 years or older): 70 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 16 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 308 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Azelastine Hcl — 93 prescription fills, including refills.
- Mupirocin — 66 prescription fills, including refills.
- Fluticasone Propionate — 56 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Otolaryngology in Illinois (2024, 265 clinicians with data). Median for this group: 690. Middle half: 325 to 1,225.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 672 in 2020 to 580 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1005 Health Center Dr Ste 201
Mattoon, IL 619384653
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Effingham, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Sarah Bush Lincoln Health Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Wake Forest University School Of Medicine
1991
What Public CMS Data Show
Otolaryngology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
421 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $45,928 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $31,491 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
409 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,412 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $16.50 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
35 years (graduated 1991)
CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Mattoon and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Otolaryngology in Illinois (2024, 265 clinicians with data). Median for this group: 690. Middle half: 325 to 1,225.
Too few clinicians listed under Otolaryngology in Mattoon have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Otolaryngology in Illinois (2024, 265 clinicians with data). Median for this group: $72,676. Middle half: $37,181 to $133,440.
Too few clinicians listed under Otolaryngology in Mattoon have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Otolaryngology in Illinois (2024, 265 clinicians with data). Median for this group: $53,703. Middle half: $26,708 to $96,878.
Too few clinicians listed under Otolaryngology in Mattoon have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Otolaryngology in Illinois (2024, 273 clinicians with data). Median for this group: 253. Middle half: 74 to 632.
Too few clinicians listed under Otolaryngology in Mattoon have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Otolaryngology in Illinois (2024, 273 clinicians with data). Median for this group: $5,328. Middle half: $1,091 to $13,276.
Too few clinicians listed under Otolaryngology in Mattoon have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Otolaryngology with a practice address in Mattoon, IL (482 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 14% from 672 in 2020 to 580 in 2024.
- 2020: 672
- 2021: 519
- 2022: 695
- 2023: 569
- 2024: 580
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Medicare-allowed amount
Medicare-allowed amount decreased 19% from $56,454 in 2020 to $45,928 in 2024.
- 2020: $56,454
- 2021: $43,730
- 2022: $57,291
- 2023: $47,953
- 2024: $45,928
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Paid by Medicare
Paid by Medicare decreased 23% from $40,966 in 2020 to $31,491 in 2024.
- 2020: $40,966
- 2021: $33,077
- 2022: $38,870
- 2023: $33,525
- 2024: $31,491
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 19% from 379 in 2020 to 308 in 2024.
- 2020: 379
- 2021: 283
- 2022: 312
- 2023: 283
- 2024: 308
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30-day fills
30-day fills decreased 13% from 468 in 2020 to 409 in 2024.
- 2020: 468
- 2021: 384
- 2022: 402
- 2023: 376
- 2024: 409
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Part D drug cost
Part D drug cost decreased 42% from $7,563 in 2020 to $4,412 in 2024.
- 2020: $7,563
- 2021: $6,840
- 2022: $8,926
- 2023: $7,764
- 2024: $4,412
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $12.31 in 2019 to $16.50 in 2025.
- 2019: $12.31
- 2021: $24.30
- 2025: $16.50
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $16.50.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Elite Orthopedics, LLC |
Food and Beverage
In-kind items and services
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— | General | $16.50 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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95811
Sleep study in sleep lab with continuous airway pressure (6 years or older)
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112 | 108 | $1336.19 | $117.87 |
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95806
Sleep study including heart rate, breathing, airflow, and effort
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81 | 81 | $385.78 | $41.70 |
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95810
Sleep study in sleep lab (6 years or older)
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70 | 69 | $1219.69 | $114.96 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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55 | 51 | $192.07 | $62.81 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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49 | 49 | $271.84 | $81.76 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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30 | 30 | $524.50 | $64.49 |
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69210
Removal of impacted ear wax
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25 | 21 | $125.60 | $32.09 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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23 | 23 | $270.30 | $92.33 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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23 | 22 | $192.87 | $69.51 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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21 | 18 | $110.14 | $45.07 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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19 | 17 | $110.05 | $35.02 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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16 | 15 | $527.13 | $76.04 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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16 | 16 | $286.63 | $90.44 |
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69210
Removal of impacted ear wax
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14 | 12 | $126.21 | $33.61 |
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31231
Diagnostic exam of nasal passages using an endoscope
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13 | 12 | $301.46 | $62.32 |
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69433
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia
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13 | 13 | $588.46 | $140.43 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azelastine Hcl | Azelastine Hcl | 93 | 3,470 | $2,106.16 | 47 |
| Mupirocin | Mupirocin | 66 | 1,223 | $423.57 | 55 |
| Fluticasone Propionate | Fluticasone Propionate | 56 | 2,730 | $495.80 | 28 |
| Levothyroxine Sodium | Levothyroxine Sodium | 38 | 1,980 | $220.16 | — |
| Ipratropium Bromide | Ipratropium Bromide | 16 | 679 | $250.27 | 11 |
| Methylprednisolone | Methylprednisolone | 14 | 84 | $71.41 | 12 |
| Ofloxacin | Ofloxacin | 14 | 132 | $802.72 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 11 | 41 | $42.34 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-11-08NUCC Taxonomy Code: 207Y00000X
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OTOLARYNGOLOGY
I20100216000537
IL
2567506488
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Sarah Bush Lincoln Health Center
1000 Health Ctr Dr, Mattoon, IL 619384639
Phone: 2172584030
Secondary Practice Locations
905 N Maple St
Effingham, IL 624016401
Phone: 2173477077
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Otolaryngology
Doctor of Medicine (M.D.)
Audiologist
Doctor of Audiology
Otolaryngology
Doctor of Medicine (M.D.)
Otolaryngology
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Otolaryngology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384653 (Tel: 2172582409)
Registered at PO BOX 372, MATTOON, IL 619380372
Registered at 1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938 (Tel: 2172582409)
Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)
NPI status registered as active in NPPES database
Registered at 500 HEALTH CENTER DR, SUITE 401, MATTOON, IL 619389258 (Tel: 2172582409)
Registered at 500 HEALTH CENTER DR, SUITE 401, MATTOON, IL 619389258 (Tel: 2172582409)
Recorded as MICHAEL SMITH, M.D.
Otolaryngology (license number reported to NPPES: IL 036-092274)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Otolaryngology Specialists in Mattoon
- Dr. Mary Gorman, MD
- Dr. Harry Borovik, MD
- Dr. Lori Cudone, MD
- Dr. Sandra Ettema, MD, PhD
- Dr. Anand Ponnappan, MD
Mailing Address
Po Box 372
Mattoon, IL 619380372