NATHAN BRYAN SMITH (PA C) – Physician Assistant, NPI 1154309326

NATHAN BRYAN SMITH (PA C) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA01365 (OR). The NPI Number for NATHAN BRYAN SMITH (PA C) is 1154309326

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN BRYAN SMITH (PA C)
NPI
1154309326
Phone
(541) 681-5090
Address
743 COUNTRY CLUB RD
Enumeration Date
6 January 2006
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413166575
Graduation Year
2003 (23 years ago)
PAC ID
0547254765
Group Practice PAC ID
4789005034
Professional Enrollment ID
I20080618000081
Address ID
OR970583365TH1825XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for NATHAN BRYAN SMITH (PA C)

  • 743, Country Club Road, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974016019

    Phone: (541) 681-5090

    Type: Mailing

  • 917 11TH ST

    HOOD RIVER, OR 970311578

    Phone: (541) 386-2517

    Fax: (541) 386-1919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,201.

Total Amount is formed as General ($1,201) + Research ($0) + Ownership ($0) = $1,201.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($384).

Total Amount

$1,201

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2008-06-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080618000081IPhysician AssistantORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes745533$0
17003Destruction of precancer skin growth, 2-14 growths592251$0
17000Destruction of precancer skin growth, 1 growth574424$0
17110Destruction of skin growth, 1-14 growths424342$0
99214Established patient office or other outpatient visit, 30-39 minutes233169$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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Provider's Procedures

NATHAN BRYAN SMITH (PA C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR17003Destruction of 2-14 skin growths483118

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: 4789005034View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Physician AssistantOR
Nurse PractitionerWA
D E R M A T O L O G YFL
Physician AssistantID
D E R M A T O L O G YWA
Nurse PractitionerWA
General Practice, Radiation Oncology, General PracticeCA
Nurse PractitionerWA
Physician AssistantOR

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Frequently asked questions

Is NATHAN BRYAN SMITH (PA C) listed with a National Provider Identifier?
Yes — NATHAN BRYAN SMITH (PA C) has NPI 1154309326 on file in the registry.
Active or inactive — what applies to NATHAN BRYAN SMITH (PA C)?
You should see NATHAN BRYAN SMITH (PA C) as active in CMS-hosted NPPES data.
What kind of doctor is NATHAN BRYAN SMITH (PA C)?
NATHAN BRYAN SMITH (PA C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NATHAN BRYAN SMITH (PA C)?
Directory geography for NATHAN BRYAN SMITH (PA C) centers on Eugene, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.