AMANDA DAWN SMITH (PA) – Physician Assistant, NPI 1508467010
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for AMANDA DAWN SMITH (PA)
2000 Newark Granville Rd Ste 202
Granville, OH 430237009
Phone: (740) 587-3376
Type: Location
1621 SPRUCE ST
ZANESVILLE, OH 437012534
Phone: (312) 415-5448
Type: Mailing
1566 MONMOUTH DR STE 101
LANCASTER, OH 431308048
Phone: (740) 687-1177
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,452.
Total Amount is formed as General ($1,452) + Research ($0) + Ownership ($0) = $1,452.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Janssen Biotech, Inc. ($367).
Total Amount
$1,452
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $367 |
| Regeneron Healthcare Solutions, Inc. | $246 |
| ABBVIE INC. | $153 |
| UCB, Inc. | $128 |
| Sun Pharmaceutical Industries Inc. | $83 |
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: 2020-12-18
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 |
|---|---|---|---|---|
| I20201218001139 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 387 | 82 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 151 | 125 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 137 | 123 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 130 | 130 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 95 | $0 |
Insurance plans in this area (ZIP 43023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| Physician Assistant | OH | |
| - | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | OH |
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