SHERINE SMITH (PA-C) – Physician Assistant, NPI 1164634523

SHERINE SMITH (PA-C) is a healthcare provider. based in Saint george, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 359939-1206 (UT). The NPI Number for SHERINE SMITH (PA-C) is 1164634523

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHERINE SMITH (PA-C)
NPI
1164634523
Phone
(435) 628-4507
Address
1054 E RIVERSIDE DR STE 201
Enumeration Date
5 May 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356284507
Graduation Year
2002 (24 years ago)
PAC ID
6608135553
Group Practice PAC ID
9234445065
Professional Enrollment ID
I20180122002718
Address ID
UT847908720ST617XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for SHERINE SMITH (PA-C)

  • 1054 E RIVERSIDE DR STE 201

    SAINT GEORGE, UT 847904829

    Phone: (435) 628-4507

    Type: Mailing

  • 215 W 100 N

    Provo, UT 846014433

    Phone: (801) 374-9660

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
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: 2018-01-22

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
I20180122002718IPhysician AssistantUTTBD

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
92014Established patient complete exam of visual system232221$0
92012Established patient problem focused exam of visual system11985$0
92250Photography of the retina8382$0
92134Imaging of retina4847$0
92004New patient complete exam of visual system4141$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 9234445065View full group profile
NameSpecialtyState
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

What number should I use to identify SHERINE SMITH (PA-C) for billing?
Administrative and clinical systems typically use NPI 1164634523 for SHERINE SMITH (PA-C).
Does the public listing show SHERINE SMITH (PA-C) as active?
SHERINE SMITH (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret SHERINE SMITH (PA-C)'s specialty?
The extract shows Physician Assistant for SHERINE SMITH (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit SHERINE SMITH (PA-C) in Saint George, Utah?
For routing, start with Saint George, Utah for SHERINE SMITH (PA-C), then verify phone and hours locally.
Who maintains SHERINE SMITH (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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