PAUL JEFFERY SMITH (MD) – Occupational Medicine Physician, NPI 1639205206
Occupational Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11 PREVENTIVE MEDICINE in HI
Provider Addresses for PAUL JEFFERY SMITH (MD)
94-1480 MOANIANI ST
WAIPAHU, HI 967974632
Phone: (808) 432-3100
Type: Mailing
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011900
Phone: (888) 647-9600
Type: Mailing
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011907
Phone: (570) 320-7444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $321.
Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: SK Life Science, Inc. ($68).
Total Amount
$321
General + Research + Ownership
Payments
14
Total payment records
General Amount
$321
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110715000208 | I | Preventive Medicine | HI | TBD |
| I20251104001767 | I | Preventive Medicine | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 36 | $0 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 22 | 12 | $0 |
Insurance plans in this area (ZIP 96797)
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