MARK ALAN SMITH (MD) – Internal Medicine Physician, NPI 1174529887

MARK ALAN SMITH (MD) is a healthcare provider. based in Jacksonville, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E4293 (AR). The NPI Number for MARK ALAN SMITH (MD) is 1174529887

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALAN SMITH (MD)
NPI
1174529887
Phone
(501) 241-2191
Address
1320 BRADEN ST
Enumeration Date
27 June 2005
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5019189192
Graduation Year
1984 (42 years ago)
PAC ID
6305897141
Group Practice PAC ID
4183050842
Professional Enrollment ID
I20050209000284
Address ID
AR721206046SH100XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

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Provider Addresses for MARK ALAN SMITH (MD)

  • 1320, Braden Street, Jacksonville, Pulaski County, Arkansas, 72076, United States

    JACKSONVILLE, AR 720763719

    Phone: (501) 241-2191

    Fax: (501) 241-2197

    Type: Mailing

  • 5308 Ridge Rd

    Jacksonville, AR 720768907

    Phone: (501) 681-6181

    Fax: (501) 983-4376

    Type: Location

  • 100 SHADOW OAKS DR

    SHERWOOD, AR 721206046

    Phone: (870) 393-5050

    Fax: (501) 295-7679

    Type: Mailing

  • 5308 RIDGE RD

    JACKSONVILLE, AR 720768907

    Phone: (501) 681-6181

    Fax: (501) 983-4376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $315.

Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($136).

Total Amount

$315

General + Research + Ownership

Payments

12

Total payment records

General Amount

$315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050209000284IInternal MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7221$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and5249$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes3534$0
36415Insertion of needle into vein for collection of blood sample3420$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 72076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183050842View full group profile

Reviews

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Frequently asked questions

Where can patients find MARK ALAN SMITH (MD)'s NPI?
You can confirm MARK ALAN SMITH (MD) with NPI 1174529887; it appears in the national provider directory.
Is MARK ALAN SMITH (MD)'s NPI currently valid?
The extract we use shows MARK ALAN SMITH (MD) as active.
Can you summarize MARK ALAN SMITH (MD)'s specialty in plain language?
Clinically, the directory lists MARK ALAN SMITH (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARK ALAN SMITH (MD) practice in Arkansas?
You will see Jacksonville, Arkansas on file for MARK ALAN SMITH (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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