DALE B SMITH (DO) – Otolaryngology Physician, NPI 1083660369

DALE B SMITH (DO) is a healthcare provider. based in Lawton, Oklahoma. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. 2833 (OK). The NPI Number for DALE B SMITH (DO) is 1083660369

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DALE B SMITH (DO)
NPI
1083660369
Phone
(580) 536-8844
Address
4920 SW LEE BLVD
Enumeration Date
26 May 2006
Last Update Date
12 August 2010

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5805368844
Graduation Year
1983 (43 years ago)
PAC ID
6103730254
Group Practice PAC ID
4789695073
Professional Enrollment ID
I20031113000685
Address ID
OK735058339LA4920XBLVD400
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

113 OTOLARYNGOLOGY in OK

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Provider Addresses for DALE B SMITH (DO)

  • 4920, Southwest Lee Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735058339

    Phone: (580) 536-8844

    Fax: (580) 536-8818

    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 24 Open Payments records for all available years, with a total value of $497.

Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($120).

Total Amount

$497

General + Research + Ownership

Payments

24

Total payment records

General Amount

$497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

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: 2003-11-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031113000685IOtolaryngologyOKTBD

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
95165Professional service for preparation and provision of 1 or more antigens1,60046$0
86003Measurement of antibody (ige) to allergic substance, crude allergen extract, each1,12830$0
99214Established patient office or other outpatient visit, 30-39 minutes417267$0
95115Professional service for single injection of allergen38231$0
31231Diagnostic exam of nasal passages using an endoscope212179$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 4789695073View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Qualified AudiologistLA

Reviews

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Frequently asked questions

What federal number belongs to DALE B SMITH (DO)?
The federal identifier for DALE B SMITH (DO) is NPI 1083660369.
Is DALE B SMITH (DO)'s NPI currently valid?
The extract we use shows DALE B SMITH (DO) as active.
What field does DALE B SMITH (DO) work in?
You can think of DALE B SMITH (DO) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DALE B SMITH (DO)?
The snapshot lists Lawton, Oklahoma for DALE B SMITH (DO); download NPPES for the complete set.
What if Lawton, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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