DR. CLINTON CHARLES III SMITHSON (M.D.) – Emergency Medicine Physician, NPI 1083025134

DR. CLINTON CHARLES III SMITHSON (M.D.) is a healthcare provider. based in College station, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. BP10050385 (TX). The NPI Number for DR. CLINTON CHARLES III SMITHSON (M.D.) is 1083025134

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLINTON CHARLES III SMITHSON (M.D.)
NPI
1083025134
Phone
(979) 207-0100
Address
700 Scott and White Dr
Enumeration Date
12 May 2014
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035938441
Graduation Year
2014 (12 years ago)
PAC ID
8921394651
Group Practice PAC ID
8527420306
Professional Enrollment ID
I20160907001013
Address ID
TX757012036TY800XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:12State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. CLINTON CHARLES III SMITHSON (M.D.)

  • 700 Scott and White Dr

    College Station, TX 778456441

    Phone: (979) 207-0100

    Type: Location

  • PO BOX 841656

    DALLAS, TX 752841656

    Phone: (903) 531-5000

    Type: Mailing

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 606-4262

    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: 2016-09-07

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
I20160907001013IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making210204$0
99284Emergency department visit with moderate level of medical decision making194194$0
99283Emergency department visit with low level of medical decision making8684$0
99291Critical care, first 30-74 minutes7472$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2524$0
View full utilization report →

Insurance plans in this area (ZIP 77845)

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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: 8527420306View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMD
Nurse PractitionerTX
Emergency MedicineMS
Emergency MedicineSC
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for DR. CLINTON CHARLES III SMITHSON (M.D.) in the U.S.?
In the U.S., DR. CLINTON CHARLES III SMITHSON (M.D.) is identified by NPI 1083025134.
Is DR. CLINTON CHARLES III SMITHSON (M.D.)'s NPI status active today?
Active status means DR. CLINTON CHARLES III SMITHSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. CLINTON CHARLES III SMITHSON (M.D.)'s listing?
DR. CLINTON CHARLES III SMITHSON (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CLINTON CHARLES III SMITHSON (M.D.) in College Station, Texas?
For routing, start with College Station, Texas for DR. CLINTON CHARLES III SMITHSON (M.D.), then verify phone and hours locally.
Why is information missing for DR. CLINTON CHARLES III SMITHSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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