LARY J SMITH (DPM) – Podiatrist, NPI 1093713539

LARY J SMITH (DPM) is a healthcare provider. based in St george, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 314121-0501 (UT). The NPI Number for LARY J SMITH (DPM) is 1093713539

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
LARY J SMITH (DPM)
NPI
1093713539
Phone
(435) 628-2671
Address
754 SOUTH MAIN
Enumeration Date
8 July 2005
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7023467678
Graduation Year
1990 (36 years ago)
PAC ID
6204815376
Group Practice PAC ID
4082607023
Professional Enrollment ID
I20040913000167
Address ID
NV890278850ME340XXPKWY407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for LARY J SMITH (DPM)

  • 754 SOUTH MAIN

    SUITE 3

    ST GEORGE, UT 847705504

    Phone: (435) 628-2671

    Fax: (435) 634-1601

    Mailing address matches the actual address.

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2004-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040714000680IPodiatryUTTBD
I20040913000167IPodiatryNVTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less1,04764$0
99213Established patient office or other outpatient visit, 20-29 minutes849398$0
11721Removal of fingernails or toenails, 6 or more nails832300$0
97597Removal of tissue from wound, 20.0 sq cm or less59683$0
99212Established patient office or other outpatient visit, 10-19 minutes240177$0
View full utilization report →

Insurance plans in this area (ZIP 84770)

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Provider's Procedures

LARY J SMITH (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYUT11042Removal of skin and tissue first 20 sq cm or less92557
PODIATRYUT11056Removal of 2 to 4 thickened skin growths216109
PODIATRYUT73630X-ray of foot, minimum of 3 views226142

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: 4082607023View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LARY J SMITH (DPM) in the U.S.?
In the U.S., LARY J SMITH (DPM) is identified by NPI 1093713539.
Is LARY J SMITH (DPM)'s NPI status active today?
Active status means LARY J SMITH (DPM)'s NPI record is not deactivated in the public file.
How should patients interpret LARY J SMITH (DPM)'s specialty?
The extract shows Podiatrist for LARY J SMITH (DPM). Clinical services aligned with this taxonomy classification.
Which community is linked to LARY J SMITH (DPM)?
LARY J SMITH (DPM) shows a connection to St George, Utah in registry-derived data.
Why is information missing for LARY J SMITH (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.