DR. JACK MICHAEL SMITH (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1346687720
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
497 PAIN MANAGEMENT in PA
Provider Addresses for DR. JACK MICHAEL SMITH (MD)
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Phone: (570) 326-8457
Fax: (570) 320-7989
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 425 Open Payments records for all available years, with a total value of $175,154.
Total Amount is formed as General ($158,434) + Research ($16,720) + Ownership ($0) = $175,154.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: SI-BONE, INC. ($125,514).
Total Amount
$175,154
General + Research + Ownership
Payments
425
Total payment records
General Amount
$158,434
General payments
Research Amount
$16,720
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $125,514 |
| Abbott Laboratories | $19,500 |
| Vertos Medical, Inc. | $7,130 |
| Medtronic, Inc. | $6,839 |
| BIOTRONIK NRO, Inc. | $5,529 |
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: 2018-07-31
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 |
|---|---|---|---|---|
| I20180731001239 | I | Pain Management | PA | 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 |
|---|---|---|---|---|
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 1,280 | 548 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 878 | 420 | $0 |
| J2274 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | 785 | 26 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 226 | 226 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 194 | 40 | $0 |
Insurance plans in this area (ZIP 17701)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | MA | |
| - | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.