RYAN MARK SMITH (PA) – Physician Assistant, NPI 1700164555

RYAN MARK SMITH (PA) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA07494 (TX). The NPI Number for RYAN MARK SMITH (PA) is 1700164555

Main info

Male
15 Years Of Experience
Name
RYAN MARK SMITH (PA)
NPI
1700164555
Phone
(817) 321-0387
Address
816 W CANNON ST
Enumeration Date
27 July 2011
Last Update Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179345499
Graduation Year
2011 (15 years ago)
PAC ID
4385818855
Group Practice PAC ID
8729429592
Professional Enrollment ID
I20111118000103
Address ID
TX761044155FO1622XAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for RYAN MARK SMITH (PA)

  • 816 W CANNON ST

    FORT WORTH, TX 761043146

    Phone: (817) 321-0387

    Type: Mailing

  • 1320 S UNIVERSITY DR STE 500

    FORT WORTH, TX 761075732

    Phone: (817) 321-0387

    Type: Mailing

  • 815 PENNSYLVANIA AVE

    FORT WORTH, TX 761042224

    Phone: (817) 321-0387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $646.

Total Amount is formed as General ($646) + Research ($0) + Ownership ($0) = $646.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Inari Medical, Inc. ($339).

Total Amount

$646

General + Research + Ownership

Payments

24

Total payment records

General Amount

$646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2011-11-18

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
I20111118000103IPhysician 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
49083Drainage of fluid from abdominal cavity using imaging guidance5436$0
32555Aspiration of fluid from chest cavity using imaging guidance3633$0
77001Fluoroscopic guidance for insertion or removal of central vein access device3027$0
76937Ultrasonic guidance for blood vessel access2119$0
36558Insertion of tunneled central venous tube for infusion (5 years or older)1311$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 8729429592View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN MARK SMITH (PA)?
RYAN MARK SMITH (PA) — NPI 1700164555 — is the standard way to identify this listing.
Is RYAN MARK SMITH (PA) still practicing?
RYAN MARK SMITH (PA) is currently listed as active in the public NPI registry.
What is RYAN MARK SMITH (PA) best known for clinically?
Directory data describes RYAN MARK SMITH (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is RYAN MARK SMITH (PA) based?
RYAN MARK SMITH (PA) is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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