Dr. Edward Smith, DO
1411 N Taylor DR, Sheboygan, WI 53081 • +1-813-555-8038
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Sheboygan Percentiles
NPI #1962617845 • CBSA Regional • Otolaryngology
Operating out of Sheboygan, WI (1411 N Taylor DR), Otolaryngology clinician Dr. Edward Smith, DO (accredited MD/DO training, 1997) maintains a top-decile high-throughput specialist (99th percentile in Sheboygan) (67.57th WI percentile; Z-score -0.07σ across 1,454 documented services) with sub-specialty concentration in 54 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Edward Smith (53081) place 99213 at the top of the practice ledger (494 yearly units, 99th metro rank), rounded out by 31231 and 31575.
Direct cash-pay transparency modeling sets Dr. Smith's baseline new-consult rate near $209.00 in Sheboygan, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Patients evaluating Dr. Edward Smith in ZIP 53081 note 29 years of post-doctoral tenure (null, 1997) alongside 5.8 annual CMS procedures per patient.
Top 10% Otolaryngology volume leader in Sheboygan, WI
1,454 annual services across 250 beneficiaries
Standard deviations from WI Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 494 | 99th | $73 – $100 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 364 | 99.5th | $146 – $200 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 276 | 99.5th | $107 – $146 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 189 | 94th | $51 – $70 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 131 | 96th | $46 – $63 |
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Dr. Edward Smith, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1962617845 (DO) | CMS NPPES Registry (53081) |
| Dr. Smith Sheboygan CMS Volume Rank | 99.00th Pct (1,454 CMS svcs; Z -0.072σ) | CMS Medicare Part B (WI Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sheboygan, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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