2026 NPPES data Emergency Medicine Physician NPI 1396366811 MD
Verify on CMS →

Jennifer Smith, MD

Emergency Medicine Physician in O Fallon, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
188
Medicare Part D claims · 124 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

Jennifer Smith, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 188 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
188
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Jennifer Smith, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

Jennifer Smith, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Jennifer Smith, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/06/2020

NPI 1396366811

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

188 47% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Emergency Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Emergency Medicine Physician share within Illinois

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Illinois

Medicare quality performance — MIPS

Jennifer Smith, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Emergency Medicine Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Jennifer Smith, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1 SAINT ELIZABETH BLVD, O Fallon, IL, 62269, with a listed phone of (618) 234-2120. NPI 1396366811 was issued on 05/06/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Smith most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 188 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 9.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100, Cost 94.7), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1 SAINT ELIZABETH BLVD
O Fallon, IL 62269

Provider Details

NPI 1396366811
Specialty Emergency Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/06/2020

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Quality
94.6913
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Jennifer Smith, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Cepamerica Illinois LLP
Litchfield, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to Jennifer Smith, MD. To verify Jennifer Smith, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

188
Total Claims
$3K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
188
Total Day Supply
1,736
Generic Drug Cost
$2K
Opioid Claims
17 (9.0% rate)
Antibiotic Claims
91

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.68
Gender Split
69% female / 31% male
Age Distribution
<65: 33, 65-74: 36, 75-84: 33, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Jennifer Smith, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cephalexin
41
Ondansetron Odt
Ondansetron
29
Doxycycline Hyclate
14
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How Jennifer Smith, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Jennifer Smith, MD's 188 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Smith.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Jennifer Smith, MD's specialty?
Jennifer Smith, MD specializes in Emergency Medicine Physician and practices in O Fallon, Illinois. Credentials: MD.
How much does Jennifer Smith, MD prescribe under Medicare Part D?
In 2023, Jennifer Smith, MD wrote 188 Medicare Part D claims totaling $3K in drug costs for 124 beneficiaries.
What is Jennifer Smith, MD's Medicare quality score?
Jennifer Smith, MD has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 94.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jennifer Smith, MD located?
Jennifer Smith, MD is located at 1 SAINT ELIZABETH BLVD, O Fallon, IL, 62269. Phone: (618) 234-2120.
What is Jennifer Smith, MD's NPI number?
Jennifer Smith, MD's National Provider Identifier (NPI) is 1396366811, issued on 05/06/2020.
Does Jennifer Smith, MD prescribe opioids?
Yes, Jennifer Smith, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Jennifer Smith, MD prescribe most often?
Based on 2023 Medicare Part D data, Jennifer Smith, MD's most frequently prescribed drugs include Cephalexin, Ondansetron Odt, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jennifer Smith, MD accept Medicare?
Jennifer Smith, MD appears in CMS Medicare data with 188 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jennifer Smith, MD's credentials?
Jennifer Smith, MD's NPI is 1396366811 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology