DR. ERIC PETRIE SMITH (M.D.) – Dermatology Physician, NPI 1114997277

DR. ERIC PETRIE SMITH (M.D.) is a healthcare provider. based in Palo alto, California. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 36270 (NC). The NPI Number for DR. ERIC PETRIE SMITH (M.D.) is 1114997277

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC PETRIE SMITH (M.D.)
NPI
1114997277
Phone
(650) 325-6000
Address
900 WELCH RD
Enumeration Date
23 January 2006
Last Update Date
14 June 2012

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4157716300
Graduation Year
1990 (36 years ago)
PAC ID
7214118025
Group Practice PAC ID
0042407215
Professional Enrollment ID
I20120703000628
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ERIC PETRIE SMITH (M.D.)

  • 900 Welch Road, Welch Road, Stanford, Palo Alto, Santa Clara County, California, 94305-6015, United States

    SUITE 300

    PALO ALTO, CA 943041805

    Phone: (650) 325-6000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$34
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: 2011-02-28

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
I20110228000586IDermatologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94304)

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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: 0042407215View full group profile
NameSpecialtyState
Nurse PractitionerNY
D E R M A T O L O G YOH
-CA
Physician AssistantCA
Physician AssistantNC
D E R M A T O L O G YCA
Physician AssistantCA
-NV
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Can I cross-check DR. ERIC PETRIE SMITH (M.D.) using NPI 1114997277?
NPI 1114997277 belongs to DR. ERIC PETRIE SMITH (M.D.); compare other details if you need extra assurance.
Is DR. ERIC PETRIE SMITH (M.D.) shown as active in public data?
Registry records indicate DR. ERIC PETRIE SMITH (M.D.) maintains an active NPI.
What expertise is attributed to DR. ERIC PETRIE SMITH (M.D.)?
DR. ERIC PETRIE SMITH (M.D.)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ERIC PETRIE SMITH (M.D.) located near Palo Alto?
DR. ERIC PETRIE SMITH (M.D.) currently maps to Palo Alto, California in this extract.
Can I trust this NPI listing for DR. ERIC PETRIE SMITH (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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