DR. LARRY LAMAR SMITH (MD) – Dermatology Physician, NPI 1689732042

DR. LARRY LAMAR SMITH (MD) is a healthcare provider. based in Longview, Texas. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. G7887 (TX). The NPI Number for DR. LARRY LAMAR SMITH (MD) is 1689732042

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY LAMAR SMITH (MD)
NPI
1689732042
Phone
(903) 758-3376
Address
804 MEDICAL CIRCLE DRIVE
Enumeration Date
5 December 2006
Last Update Date
21 October 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
9037583376
Graduation Year
1981 (45 years ago)
PAC ID
8820282650
Professional Enrollment ID
I20101104001584
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. LARRY LAMAR SMITH (MD)

  • 804 MEDICAL CIRCLE DRIVE

    SUITE D

    LONGVIEW, TX 75605

    Phone: (903) 758-3376

    Fax: (903) 758-3526

    Type: Mailing

  • PO BOX 1009

    GILMER, TX 756441009

    Phone: (903) 758-3376

    Fax: (903) 758-3526

    Type: Mailing

  • 6757 US HIGHWAY 271 N

    GILMER, TX 756445409

    Phone: (903) 758-3376

    Fax: (903) 758-3526

    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 $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Shockwave Medical, Inc ($22).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-11-04

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
I20101104001584IDermatologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,196748$0
17003Destruction of precancer skin growth, 2-14 growths953238$0
17000Destruction of precancer skin growth, 1 growth661417$0
17110Destruction of skin growth, 1-14 growths230183$0
11102Biopsy of related skin growth, first growth215185$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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Provider's Procedures

DR. LARRY LAMAR SMITH (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips3934

Reviews

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Frequently asked questions

Can I cross-check DR. LARRY LAMAR SMITH (MD) using NPI 1689732042?
NPI 1689732042 belongs to DR. LARRY LAMAR SMITH (MD); compare other details if you need extra assurance.
Would DR. LARRY LAMAR SMITH (MD) appear as active to a payer?
You can treat DR. LARRY LAMAR SMITH (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. LARRY LAMAR SMITH (MD)?
DR. LARRY LAMAR SMITH (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LARRY LAMAR SMITH (MD)?
Travel planning: use Longview, Texas as the reference point for DR. LARRY LAMAR SMITH (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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