Doctor profile · Federal record
Dr. Jody Bolton Smith, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Sartell, MN
- NPI 1306846076
- Accepts Medicare
- MIPS 71.3 / 100 · 2023
- 27 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1990 Connecticut Ave S
Sartell, MN 563772554
(320) 257-5595
fax (320) 257-5596 - Mailing address
-
Po Box 7366
Saint Cloud, MN 563027366
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- August 11, 2011
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Minnesota #46527
- Medicaid
- MN #492485100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306846076. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,478
Distinct HCPCS
10
Medicare allowed
$130,395
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77067 |
Screening mammography | 364 | 364 | $35 | |
77063 |
Screening 3d breast mammography | 348 | 348 | $28 | |
71045 |
X-ray of chest, 1 view | 306 | 295 | $8 | |
71046 |
X-ray of chest, 2 views | 264 | 255 | $10 | |
70450 |
Ct scan head or brain without contrast | 171 | 165 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 147 | 144 | $84 | |
72148 |
Mri scan of lower spinal canal without contrast | 109 | 108 | $68 | |
71260 |
Ct scan of chest with contrast | 101 | 100 | $53 | |
93971 |
Ultrasound study of one arm or leg veins with compression and maneuvers | 86 | 84 | $20 | |
74018 |
X-ray of abdomen, 1 view | 74 | 70 | $8 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 75. This provider delivers 46× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bard Peripheral Vascular, Inc. | 1 | $19.35 |
By nature of payment
Frequently asked questions
What is Dr. Jody Bolton Smith's medical specialty?
Dr. Jody Bolton Smith practices Diagnostic Radiology Physician in Sartell, MN.
Where does Dr. Jody Bolton Smith practice?
Dr. Jody Bolton Smith practices at 1990 Connecticut Ave S, Sartell, MN 563772554. Office phone: 3202575595.
What is Dr. Jody Bolton Smith's NPI?
Dr. Jody Bolton Smith's National Provider Identifier (NPI) is 1306846076, issued by NPPES.
Does Dr. Jody Bolton Smith accept Medicare assignment?
Yes. Dr. Jody Bolton Smith accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jody Bolton Smith commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); X-ray of chest, 1 view (HCPCS 71045). Source: CMS Medicare Physician & Other Practitioners file.