STEPHEN MAX SMITH (PA-C) – Physician Assistant, NPI 1639448798
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for STEPHEN MAX SMITH (PA-C)
PO BOX 980
CHALLIS, ID 832260980
Phone: (208) 879-4351
Fax: (208) 879-5216
Type: Mailing
611 CLINIC ROAD
CHALLIS, ID 83226
Phone: (208) 879-4351
Fax: (208) 879-5216
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: 2018-07-06
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 |
|---|---|---|---|---|
| I20180706001427 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 46 | 38 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 26 | 22 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 25 | 22 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 18 | 16 | $0 |
| 71046 | X-ray of chest, 2 views | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Mental Health Counselor | ID | |
| Physician Assistant | ID |
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