WARREN L SMITH (MD) – Family Medicine Physician, NPI 1679572853

WARREN L SMITH (MD) is a healthcare provider. based in Boulder city, Nevada. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. NV3978 (NV). The NPI Number for WARREN L SMITH (MD) is 1679572853

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
WARREN L SMITH (MD)
NPI
1679572853
Phone
(702) 293-0406
Address
895 ADAMS BLVD
Enumeration Date
19 July 2005
Last Update Date
17 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
7022930406
Graduation Year
1977 (49 years ago)
PAC ID
5991751976
Group Practice PAC ID
6800842980
Professional Enrollment ID
I20050324000049
Address ID
NV890052235BO895XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

50 GENERAL PRACTICE in NV

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Provider Addresses for WARREN L SMITH (MD)

  • 895, Adams Boulevard, Boulder City, Clark County, Nevada, 89005, United States

    BOULDER CITY, NV 890052235

    Phone: (702) 293-0406

    Fax: (702) 293-0192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,373.

Total Amount is formed as General ($1,373) + Research ($0) + Ownership ($0) = $1,373.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Olympus America Inc. ($564).

Total Amount

$1,373

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-24

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050324000049IGeneral PracticeNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1071Injection, testosterone cypionate, 1 mg22,60119$0
J0897Injection, denosumab, 1 mg5,70057$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,652240$0
99213Established patient office or other outpatient visit, 20-29 minutes1,684752$0
36415Insertion of needle into vein for collection of blood sample1,598861$0
View full utilization report →

Insurance plans in this area (ZIP 89005)

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Provider's Procedures

WARREN L SMITH (MD) performs procedures in GENERAL PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL PRACTICENV17003Destruction of 2-14 skin growths21451
GENERAL PRACTICENV82270Stool analysis for blood to screen for colon tumors257257
GENERAL PRACTICENV83036Hemoglobin A1C level430305
GENERAL PRACTICENV85610Blood test, clotting time35932
GENERAL PRACTICENV90670Pneumococcal vaccine for injection into muscle3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800842980View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Is WARREN L SMITH (MD) listed with a National Provider Identifier?
Yes — WARREN L SMITH (MD) has NPI 1679572853 on file in the registry.
Is there an active status for WARREN L SMITH (MD)?
For scheduling context, WARREN L SMITH (MD) is shown as active in the registry.
What kind of doctor is WARREN L SMITH (MD)?
WARREN L SMITH (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for WARREN L SMITH (MD)?
Travel planning: use Boulder City, Nevada as the reference point for WARREN L SMITH (MD), then confirm.
When was this NPI issued?
Enumeration for WARREN L SMITH (MD) is noted as July 19, 2005 where the registry provides it.

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