MR. BROCK LEWIS SMITH (PA-C) – Medical Physician Assistant, NPI 1669460986
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. BROCK LEWIS SMITH (PA-C)
North Tarrant Parkway, North Richland Hills, Tarrant County, Texas, 76182, United States
NORTH RICHLAND HILLS, TX 761828461
Phone: (817) 616-0700
Fax: (817) 616-0708
Type: Mailing
2995 DREW ST FL 2
CLEARWATER, FL 337593012
Phone: (727) 315-7469
Type: Mailing
3251 N MCMULLEN BOOTH RD STE 301
CLEARWATER, FL 337612022
Phone: (727) 669-5300
Fax: (727) 669-5366
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Boston Scientific Corporation ($21).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $21 |
| Abbott Laboratories | $14 |
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: 2023-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090803000470 | I | Physician Assistant | TX | TBD |
| I20230425002645 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 79 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 18 | 17 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 18 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 16 | 13 | $0 |
Insurance plans in this area (ZIP 76182)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 41 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
Reviews
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