DR. ANDREW GERALD SMITH (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1033111810
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
279 PEDIATRIC MEDICINE in UT
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Provider Addresses for DR. ANDREW GERALD SMITH (M.D.)
PO BOX 413021
DEPARTMENT OF PEDIATRICS - INPATIENT MEDICINE
SALT LAKE CITY, UT 841413021
Phone: (801) 213-3900
Fax: (801) 585-3655
Type: Mailing
Primary Children's Hospital, 100, Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841131103
Phone: (801) 662-3673
Fax: (801) 662-3664
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Optinose US, Inc. ($64).
Total Amount
$138
General + Research + Ownership
Payments
7
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $64 |
| kaleo, Inc. | $36 |
| Takeda Pharmaceuticals U.S.A., Inc. | $25 |
| ADMA BioManufacturing LLC | $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: 2010-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100915000684 | I | Pediatric Medicine | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | UT | |
| Pediatric Medicine | UT | |
| Emergency Medicine | UT | |
| Pediatric Medicine | WA | |
| Emergency Medicine, Pediatric Medicine | UT | |
| Critical Care (Intensivists), Pediatric Medicine | UT | |
| Pediatric Medicine, Emergency Medicine | UT | |
| - | UT | |
| Pediatric Medicine | UT | |
| Pediatric Medicine | CO |
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