MR. MARK PATRICK SMYLY (PA-C) – Physician Assistant, NPI 1750939302
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. MARK PATRICK SMYLY (PA-C)
PO BOX 1387
HAYDEN, ID 838351387
Phone: (208) 415-0299
Fax: (208) 625-2070
Type: Mailing
740 MCKINLEY AVE
KELLOGG, ID 838372693
Phone: (208) 783-1267
Fax: (844) 807-3782
Type: Location
11th Avenue Northeast, University District, Seattle, King County, Washington, 98105-6286, United States
SEATTLE, WA 981056367
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Mailing
1593 E Polston Ave
Post Falls, ID 838545326
Phone: (208) 262-2300
Fax: (208) 262-2390
Type: Location
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 838144903
Phone: (208) 664-2175
Fax: (208) 664-1226
Type: Mailing
1593 E POLSTON AVE
POST FALLS, ID 838545326
Phone: (208) 664-2175
Fax: (208) 664-1226
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-10-02 • Largest payer in this snapshot: Exact Sciences Corporation ($35).
Total Amount
$90
General + Research + Ownership
Payments
4
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-02
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: 2021-04-15
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 |
|---|---|---|---|---|
| I20210415001181 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 139 | 81 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 44 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 24 | $0 |
| 81002 | Urinalysis, manual test | 20 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| - | WA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | ID | |
| Physician Assistant | ID |
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