ANDREW SMITH (MD) – Allergy & Immunology Physician, NPI 1164468955

ANDREW SMITH (MD) is a healthcare provider. based in Murray, Utah. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 35084855 (OH). The NPI Number for ANDREW SMITH (MD) is 1164468955

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW SMITH (MD)
NPI
1164468955
Phone
(801) 263-8700
Address
6095 S FASHION BLVD STE 100
Enumeration Date
21 June 2006
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8012828700
Graduation Year
2001 (25 years ago)
PAC ID
0648236679
Group Practice PAC ID
5496036139
Professional Enrollment ID
I20141124000489
Address ID
UT840841969WE7478XDRXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

40 ALLERGY/IMMUNOLOGY in UT

Provider Addresses for ANDREW SMITH (MD)

  • 6095 S FASHION BLVD STE 100

    MURRAY, UT 841077377

    Phone: (801) 263-8700

    Fax: (801) 263-8693

    Type: Location

  • 7390 S CREEK RD STE 201

    SANDY, UT 840936123

    Phone: (801) 263-8700

    Fax: (801) 263-8693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 472 Open Payments records for all available years, with a total value of $211,800.

Total Amount is formed as General ($211,800) + Research ($0) + Ownership ($0) = $211,800.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($78,934).

Total Amount

$211,800

General + Research + Ownership

Payments

472

Total payment records

General Amount

$211,800

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-11-24

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
I20141124000489IAllergy/ImmunologyUTTBD

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
J2357Injection, omalizumab, 5 mg3,40512$0
95165Professional service for preparation and provision of 1 or more antigens3,29082$0
95117Professional service for multiple injections of allergen1,21379$0
95004Test for allergy using allergenic extract1,19327$0
96160Administration and interpretation of patient-focused health risk assessment473236$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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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: 5496036139View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicineIN

Reviews

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Frequently asked questions

Can I cross-check ANDREW SMITH (MD) using NPI 1164468955?
NPI 1164468955 belongs to ANDREW SMITH (MD); compare other details if you need extra assurance.
Would ANDREW SMITH (MD) appear as active to a payer?
You can treat ANDREW SMITH (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ANDREW SMITH (MD)?
ANDREW SMITH (MD)'s specialty line reads Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Is ANDREW SMITH (MD) associated with Murray?
Public fields place ANDREW SMITH (MD) around Murray, Utah. Always confirm the exact site before visiting.
Can I trust this NPI listing for ANDREW SMITH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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