MICHAEL LANCE SMITHERMAN (MD) – Rheumatology Physician, NPI 1053303685
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
186 RHEUMATOLOGY in GA
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Provider Addresses for MICHAEL LANCE SMITHERMAN (MD)
Omega Pediatrics, 1305, Hembree Road, Roswell, Fulton, Georgia, 30076, United States
SUITE 101
ROSWELL, GA 300763810
Phone: (678) 867-0000
Fax: (678) 867-0003
Type: Mailing
127 CRESTVIEW PARK DR STE 206
DICKSON, TN 370552856
Phone: (615) 446-1377
Fax: (615) 446-1367
Type: Mailing
222 22ND AVE N
NASHVILLE, TN 372031852
Phone: (629) 255-3486
Fax: (629) 255-3075
Type: Mailing
4230 HARDING PIKE STE 501
NASHVILLE, TN 372052018
Phone: (629) 255-2487
Fax: (629) 255-4291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 279 Open Payments records for all available years, with a total value of $17,519.
Total Amount is formed as General ($17,519) + Research ($0) + Ownership ($0) = $17,519.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($11,236).
Total Amount
$17,519
General + Research + Ownership
Payments
279
Total payment records
General Amount
$17,519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $11,236 |
| Janssen Biotech, Inc. | $1,921 |
| Amgen Inc. | $1,222 |
| UCB, Inc. | $520 |
| Horizon Therapeutics plc | $291 |
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: 2022-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221129000660 | I | Rheumatology | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 237 | 122 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 213 | 130 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 166 | 111 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 162 | 107 | $0 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 157 | 102 | $0 |
Insurance plans in this area (ZIP 30076)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 271 | 67 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | TN | |
| Orthopedic Surgery | VA | |
| Physical Medicine And Rehabilitation | TN | |
| Orthopedic Surgery | NC | |
| Orthopedic Surgery | MO | |
| N E U R O S U R G E R Y | CO | |
| Physician Assistant | TN | |
| Internal Medicine | IL | |
| Orthopedic Surgery | VA | |
| Physician Assistant | IL |
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