DEAN TY SMITH (D.O.) – Family Medicine Physician, NPI 1144252099
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
Provider Addresses for DEAN TY SMITH (D.O.)
655 S 4th E Ste 600
Preston, ID 832631624
Phone: (208) 852-3200
Fax: (208) 852-0517
Type: Location
85 South 5th
Lava Hot Springs, ID 832461603
Phone: (208) 776-5202
Fax: (208) 776-5614
Type: Location
400, South 11th Avenue, Pocatello, Bannock County, Idaho, 83201, United States
POCATELLO, ID 832014880
Phone: (208) 232-7862
Fax: (208) 232-7869
Type: Mailing
79, North Main Street, Downey, Bannock County, Idaho, 83234, United States
DOWNEY, ID 832344703
Phone: (208) 897-5600
Fax: (208) 897-5603
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: 2005-11-14
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 |
|---|---|---|---|---|
| I20051114001151 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 58 | 11 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 19 | $0 |
| 81003 | Automated urinalysis test | 18 | 16 | $0 |
Insurance plans in this area (ZIP 83263)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | ID | 85610 | Blood test, clotting time | 180 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Family Practice, Osteopathic Manipulative Medicine | ID | |
| Family Practice | ID | |
| Physician Assistant | AZ | |
| Nurse Practitioner | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Clinical Social Worker | ID |
Reviews
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