2026 NPPES data Emergency Medicine Physician NPI 1114540929 DO
Verify on CMS →

Joshua Smith, DO

Emergency Medicine Physician in Trenton, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
108
Medicare Part D claims · 80 beneficiaries · Emergency Medicine Physician avg: 355
MIPS score
48.1/100
▼ 35 pts below national avg 83.5 · Below average
Industry payments
$23.68
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Joshua Smith, DO reported a CMS MIPS final score of 48.1/100 - below the 83.5 national average - and filed 108 Medicare Part D claims in 2024.

48.1/100
MIPS score · -35 vs avg
108
Part D claims, 2024
Likely
board-certified (heuristic)
≥4th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Joshua Smith, DO

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1114540929), first enumerated 05/27/2020.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 108 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 48.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $23.68 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Joshua Smith, DO's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1114540929 · Emergency Medicine Physician

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1114540929
  • ENUM-RECENT 2020
  • TAX-MEGA 66K Emergency Medicine
  • MIPS-LOW 48.1/100
  • RX-LIGHT 108
  • BOOK-LIGHT 2,731 in Michigan
  • PHOTO-FINISH Beau Domangue, MD · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joshua Smith, DO's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

48 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). This entry sits in this band. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Joshua Smith, DO sits

This provider among emergency medicine physician peers

Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joshua Smith, DO writes more Part D claims than 37% of them and scores higher on MIPS quality than 3% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Joshua Smith, DO, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Joshua Smith, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Joshua Smith, DO 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 Joshua Smith, DO?

Below national average

NPI registry status

Active

Issued 05/27/2020

NPI 1114540929

Primary specialty

Emergency Medicine Physician

High-volume

66,293 US NPIs in this specialty

Medicare Part D claims

108 70% vs specialty avg

2024 prescription claims

Specialty avg: 355

MIPS final score

48.1/100 35.4 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Michigan

How Emergency Medicine Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician22.2%Clinical Social Worker5.7%Student in an Organized Heal…3.7%Social Worker3.3%Physical Therapist3.3%Pharmacist2.9%Emergency Medicine Physician1%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

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

Below national average
MIPS Final Score
48.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%48.1%
MIPS final score (Emergency Medicine Physician) - 48.1/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

5450 FORT ST
Trenton, MI 48183

Provider Details

NPI 1114540929
Specialty Emergency Medicine Physician
Credentials DO
Gender Male
NPI Issued 05/27/2020

CMS Quality Score (MIPS)

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

48.0992
Final Score
Measured-score avg: 83.5
0
Quality
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joshua Smith, DO 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.

Usacs Community Emergency Services OF Colorado Inc.
Arvada, CO

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

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Joshua Smith, DO. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Penumbra, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Joshua Smith, DO. To verify Joshua Smith, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan 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 2024.

108
Total Claims
$2K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
111.7
Total Day Supply
1,609
Generic Drug Cost
$879
Antibiotic Claims
29

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.70
Gender Split
60% female / 40% male
Age Distribution
<65: 18, 65-74: 35, 75-84: N/A, 85+: N/A

Emergency Medicine Physician Overview

How Joshua Smith, DO fits within the Emergency Medicine Physician landscape nationally.

66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider

Joshua Smith, DO's 108 claims are below the specialty average of 355.

Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Smith, both outside Michigan so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (48.1 here).

Same NPPES enumeration year (2020)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Emergency Medicine Physician Providers in Michigan

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

One of 2,731 Emergency Medicine Physician providers enrolled in Michigan, 5 are shown here.

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

Frequently Asked Questions

What is Joshua Smith, DO's specialty?
Joshua Smith, DO specializes in Emergency Medicine Physician and practices in Trenton, Michigan. Credentials: DO.
How much does Joshua Smith, DO prescribe under Medicare Part D?
In 2024, Joshua Smith, DO wrote 108 Medicare Part D claims totaling $2K in drug costs for 80 beneficiaries.
What is Joshua Smith, DO's Medicare quality score?
Joshua Smith, DO has a CMS MIPS Final Score of 48.1/100 (Quality: 0). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joshua Smith, DO located?
Joshua Smith, DO is located at 5450 FORT ST, Trenton, MI, 48183. Phone: (734) 642-2380.
What is Joshua Smith, DO's NPI number?
Joshua Smith, DO's National Provider Identifier (NPI) is 1114540929, issued on 05/27/2020.
How many Emergency Medicine Physician providers are there in the US?
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
Does Joshua Smith, DO accept Medicare?
Joshua Smith, DO appears in CMS Medicare data with 108 Part D claims and 80 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Smith, DO's credentials?
Joshua Smith, DO's NPI is 1114540929 with credentials DO. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.