BROOKE MARIE SMITH (PA-C) – Medical Physician Assistant, NPI 1306187414
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for BROOKE MARIE SMITH (PA-C)
2865 DAGGETT AVE
KLAMATH FALLS, OR 976011106
Phone: (541) 274-8400
Fax: (541) 274-8405
Type: Mailing
2821 DAGGETT AVE STE 200
KLAMATH FALLS, OR 976011106
Phone: (541) 274-8400
Fax: (541) 274-8405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-07-01
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 |
|---|---|---|---|---|
| I20150701001384 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
| 69210 | Removal of impacted ear wax | 26 | 18 | $0 |
Insurance plans in this area (ZIP 97601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | NM | |
| O T O L A R Y N G O L O G Y | OR | |
| Physician Assistant | CO | |
| Qualified Audiologist | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Qualified Audiologist | OR | |
| O T O L A R Y N G O L O G Y | NJ | |
| O T O L A R Y N G O L O G Y | AZ | |
| Qualified Audiologist | OR |
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