CHARLES SMITH – Physician Assistant, NPI 1063978401

CHARLES SMITH is a healthcare provider. based in Greensburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA060536 (PA). The NPI Number for CHARLES SMITH is 1063978401

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES SMITH
NPI
1063978401
Phone
(864) 872-9571
Address
419 BROWN AVE
Enumeration Date
11 February 2019
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
5092049957
Group Practice PAC ID
2062318975
Professional Enrollment ID
I20190626001574
Address ID
PA161483278HE875XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for CHARLES SMITH

  • 419, Brown Avenue, Ludwick, Greensburg, Westmoreland County, Pennsylvania, 15601, United States

    GREENSBURG, PA 156012251

    Phone: (864) 872-9571

    Type: Mailing

  • 828, West Main Street, Ramsay Terrace, Mount Pleasant, Westmoreland County, Pennsylvania, 15666, United States

    MT PLEASANT, PA 156661730

    Phone: (724) 547-4441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Boston Scientific Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-17

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: 2019-06-26

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
I20190626001574IPhysician AssistantPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15601)

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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: 2062318975View full group profile
NameSpecialtyState
Family PracticePA
-PA
P S Y C H I A T R YPA
-PA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Internal MedicinePA
-PA
-PA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What is the registry number for CHARLES SMITH?
The registry entry for CHARLES SMITH shows NPI 1063978401.
Should I treat CHARLES SMITH as an active provider?
Patients and plans typically see CHARLES SMITH as active in the national extract.
How should patients interpret CHARLES SMITH's specialty?
The extract shows Physician Assistant for CHARLES SMITH. Clinical services aligned with this taxonomy classification.
Which community is linked to CHARLES SMITH?
CHARLES SMITH shows a connection to Greensburg, Pennsylvania in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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