BARRY A. SMITH (D.O.) – Surgery Physician, NPI 1083731103
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 GENERAL SURGERY in ID
Provider Addresses for BARRY A. SMITH (D.O.)
307 SAINT JOHNS WAY STE 4
LEWISTON, ID 835012435
Phone: (208) 743-7612
Fax: (208) 746-4802
Type: Mailing
401 E Hawaii
Nampa, ID 536866014
Phone: (208) 465-6940
Fax: (208) 465-6961
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: 2024-05-20
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 |
|---|---|---|---|---|
| I20120727000444 | I | General Surgery | ID | TBD |
| I20240520001728 | I | General Surgery | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Physician Assistant | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Orthopedic Surgery | ID | |
| A N E S T H E S I O L O G Y | OR | |
| - | ID | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Interventional Pain Management, Anesthesiology | ID | |
| Diagnostic Radiology | NV |
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