CHRISTOPHER SMITH (PA) – Physician Assistant, NPI 1164120747

CHRISTOPHER SMITH (PA) is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA16638 (TX). The NPI Number for CHRISTOPHER SMITH (PA) is 1164120747

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER SMITH (PA)
NPI
1164120747
Phone
Not provided
Address
4835 LBJ FWY STE 900
Enumeration Date
22 February 2023
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4693380204
Graduation Year
2022 (4 years ago)
PAC ID
9931572260
Group Practice PAC ID
0547528978
Professional Enrollment ID
I20230307000951
Address ID
TX750325001RO5250XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for CHRISTOPHER SMITH (PA)

  • 4835 LBJ FWY STE 900

    DALLAS, TX 752446001

    Phone:

    Type: Mailing

  • 901 W INTERSTATE 30

    ROYSE CITY, TX 751897518

    Phone: (469) 248-5853

    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: 2023-03-07

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
I20230307000951IPhysician AssistantTXTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes970237$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes44796$0
View full utilization report →

Insurance plans in this area (ZIP 75244)

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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: 0547528978View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency MedicineLA
Physician AssistantTX
Nurse PractitionerTX
Hospice/Palliative Care, Internal MedicineTX
Nurse PractitionerTX
General Practice, Undersea And Hyperbaric MedicineTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is CHRISTOPHER SMITH (PA) listed with a National Provider Identifier?
Yes — CHRISTOPHER SMITH (PA) has NPI 1164120747 on file in the registry.
Would CHRISTOPHER SMITH (PA) appear as active to a payer?
You can treat CHRISTOPHER SMITH (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHRISTOPHER SMITH (PA)?
CHRISTOPHER SMITH (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is CHRISTOPHER SMITH (PA) associated with Dallas?
Public fields place CHRISTOPHER SMITH (PA) around Dallas, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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