COREY SMITH (PA-C) – Physician Assistant, NPI 1619365095

COREY SMITH (PA-C) is a healthcare provider. based in Indian harbour beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 9108381 (FL). The NPI Number for COREY SMITH (PA-C) is 1619365095

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
COREY SMITH (PA-C)
NPI
1619365095
Phone
(321) 848-1784
Address
229 SHORE LN
Enumeration Date
7 January 2015
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213615550
Graduation Year
2014 (12 years ago)
PAC ID
7517283914
Group Practice PAC ID
8820494206
Professional Enrollment ID
I20150302002097
Address ID
FL329013156ME200XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for COREY SMITH (PA-C)

  • 229 SHORE LN

    INDIAN HARBOUR BEACH, FL 329374220

    Phone: (321) 848-1784

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: United Orthopedics LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
United Orthopedics LLC$15
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: 2015-03-02

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
I20150302002097IPhysician AssistantFLTBD

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
99285Emergency department visit with high level of medical decision making196194$0
99284Emergency department visit with moderate level of medical decision making5150$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4342$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32937)

Loading plans...

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: 8820494206View full group profile
NameSpecialtyState
Orthopedic SurgeryGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does COREY SMITH (PA-C) have a public NPI I can cite?
Public records show COREY SMITH (PA-C) under NPI 1619365095.
Is COREY SMITH (PA-C)'s NPI status active today?
Active status means COREY SMITH (PA-C)'s NPI record is not deactivated in the public file.
What services align with COREY SMITH (PA-C)'s listing?
COREY SMITH (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to COREY SMITH (PA-C)?
COREY SMITH (PA-C) shows a connection to Indian Harbour Beach, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

FREDERICK SCOTT BIGGS (P.A.)

Medical Physician Assistant
483 N SEMORAN BLVD
NPI: 1205853389
2254, Highway A1A, Indian Harbour Beach, Brevard County, Florida, 32937, United States
NPI: 1902811698

DALE PHILLIP GREYSLAK (PAC)

Physician Assistant
2100, North Wickham Road, Melbourne, Brevard County, Florida, 32935, United States
NPI: 1669648754

DANIELLE MARIE GARCIA (PA)

Physician Assistant
2033 S Patrick Dr
NPI: 1548584956

SAMAR FAWAZ

Physician Assistant
2065 HIGHWAY A1A APT 1403
NPI: 1548779580

NICHOLLE C ROTHENGASS (PA-C)

Physician Assistant
904 WAVECREST AVE APT A4
NPI: 1588138663

NICOLE KRISTINE TRIO (PA-C)

Physician Assistant
7 INDIAN HARBOUR CT
NPI: 1245949650

KRISTEN HOFFOWER (PA-C)

Physician Assistant
890 E EAU GALLIE BLVD
NPI: 1477325660