WILLIAM T JR. SMITH (MD) – Anesthesiology Physician, NPI 1093700395

WILLIAM T JR. SMITH (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME62452 (FL). The NPI Number for WILLIAM T JR. SMITH (MD) is 1093700395

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM T JR. SMITH (MD)
NPI
1093700395
Phone
(904) 387-4030
Address
2165 HERSCHEL ST
Enumeration Date
13 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
1988 (38 years ago)
PAC ID
7810022050
Group Practice PAC ID
7416869565
Professional Enrollment ID
I20100312000991
Address ID
FL322044748JA1XXXXWAYX300
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

3,340 ANESTHESIOLOGY in FL

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Provider Addresses for WILLIAM T JR. SMITH (MD)

  • 2165, Herschel Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322043819

    Phone: (904) 387-4030

    Fax: (904) 381-9808

    Type: Mailing

  • 1800, Barrs Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044704

    Phone: (904) 387-4030

    Fax: (904) 381-9808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-12

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
I20100312000991IAnesthesiologyFLTBD

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
01922Anesthesia for x-ray or radiation therapy8078$0
00537Anesthesia for procedure to assess heart electrical activity3333$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1212$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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Provider's Procedures

WILLIAM T JR. SMITH (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYFL00142Anesthesia for lens surgery5252

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: 7416869565View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-WI
A N E S T H E S I O L O G YFL
-FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Where can patients find WILLIAM T JR. SMITH (MD)'s NPI?
You can confirm WILLIAM T JR. SMITH (MD) with NPI 1093700395; it appears in the national provider directory.
Is WILLIAM T JR. SMITH (MD) currently active in the NPI registry?
CMS-published data lists WILLIAM T JR. SMITH (MD) as an active registrant.
Does WILLIAM T JR. SMITH (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for WILLIAM T JR. SMITH (MD). Clinical services aligned with this taxonomy classification.
Where does public data place WILLIAM T JR. SMITH (MD)?
The snapshot lists Jacksonville, Florida for WILLIAM T JR. SMITH (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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