MS. AMANDA LUCILLE SMITH (PAC) – Physician Assistant, NPI 1679749014
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for MS. AMANDA LUCILLE SMITH (PAC)
745 HASKINS RD STE B
BOWLING GREEN, OH 434021600
Phone: (419) 373-7607
Fax: (419) 353-7076
Type: Mailing
Falcon Health Center, 838, East Wooster Street, Bowling Green, Wood County, Ohio, 43403, United States
BOWLING GREEN, OH 434023186
Phone: (419) 372-2271
Fax: (419) 354-3222
Type: Location
4235 SECOR RD
TOLEDO, OH 436234299
Phone: (419) 473-3561
Type: Mailing
838 E Wooster St
Bowling Green, OH 434023186
Phone: (419) 372-2271
Fax: (419) 354-3222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $742.
Total Amount is formed as General ($742) + Research ($0) + Ownership ($0) = $742.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Radius Health, Inc. ($254).
Total Amount
$742
General + Research + Ownership
Payments
26
Total payment records
General Amount
$742
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Radius Health, Inc. | $254 |
| PFIZER INC. | $174 |
| Amgen Inc. | $134 |
| SANOFI-AVENTIS U.S. LLC | $80 |
| Janssen Biotech, Inc. | $36 |
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: 2018-05-03
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 |
|---|---|---|---|---|
| I20180503000364 | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,700 | 42 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 302 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 95 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 47 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 20 | $0 |
Insurance plans in this area (ZIP 43402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Sports Medicine, Family Practice | OH | |
| - | OH | |
| Critical Care (Intensivists), Pulmonary Disease | NY | |
| - | OH | |
| - | OH | |
| General Surgery | OH |
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