JASON L SMITH (M D) – Procedural Dermatology Physician, NPI 1578586400
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for JASON L SMITH (M D)
103, John Maddox Drive, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651419
Phone: (706) 235-7711
Fax: (706) 235-9944
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 386 Open Payments records for all available years, with a total value of $107,758.
Total Amount is formed as General ($107,758) + Research ($0) + Ownership ($0) = $107,758.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($27,430).
Total Amount
$107,758
General + Research + Ownership
Payments
386
Total payment records
General Amount
$107,758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $27,430 |
| ABBVIE INC. | $14,309 |
| UCB, Inc. | $13,764 |
| Incyte Corporation | $13,114 |
| Galderma Laboratories, L.P. | $10,015 |
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: 2010-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100928000595 | I | Dermatology | GA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 5,119 | 845 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,549 | 1,200 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,506 | 1,114 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 538 | 464 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 510 | 464 | $0 |
Insurance plans in this area (ZIP 30165)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA |
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