DR. RUSSEL N III SMITH (MD) – Family Medicine Physician, NPI 1184685158

DR. RUSSEL N III SMITH (MD) is a healthcare provider. based in Roosevelt, Utah. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 59098491205 (UT). The NPI Number for DR. RUSSEL N III SMITH (MD) is 1184685158

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSEL N III SMITH (MD)
NPI
1184685158
Phone
(435) 722-3971
Address
210 W 300 N
Enumeration Date
30 March 2006
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3184871122
Graduation Year
2002 (24 years ago)
PAC ID
7113953902
Group Practice PAC ID
6901214584
Professional Enrollment ID
I20120321000743
Address ID
LA713013841AL3330XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. RUSSEL N III SMITH (MD)

  • 210 W 300 N

    75-3

    Roosevelt, UT 840662336

    Phone: (435) 722-3971

    Fax: (435) 722-6104

    Type: Location

  • 201 SUNRISE RD

    JONESVILLE, LA 713435308

    Phone: (318) 758-1469

    Type: Mailing

  • 5900, Coliseum Boulevard, Alexandria, Rapides Parish, Louisiana, 71303, United States

    ALEXANDRIA, LA 713033714

    Phone: (318) 386-8110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20050713000283IFamily PracticeUTTBD
I20100429001013IFamily PracticeMSTBD
I20120321000743IFamily PracticeLATBD
I20201009001091IFamily PracticeTXTBD

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
99285Emergency department visit with high level of medical decision making3737$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3531$0
99284Emergency department visit with moderate level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 84066)

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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: 6901214584View full group profile
NameSpecialtyState
Emergency MedicineLA
Emergency MedicineLA
Emergency Medicine, Family PracticeLA
Emergency MedicineLA
Emergency MedicineMI
Nurse PractitionerKY
Emergency MedicineFL
Nurse PractitionerLA
Emergency MedicineLA
Emergency MedicineLA

Reviews

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Frequently asked questions

What number should I use to identify DR. RUSSEL N III SMITH (MD) for billing?
Administrative and clinical systems typically use NPI 1184685158 for DR. RUSSEL N III SMITH (MD).
Quick check: is DR. RUSSEL N III SMITH (MD) active?
Public NPPES data shows DR. RUSSEL N III SMITH (MD) with an active NPI status right now.
Which specialty label fits DR. RUSSEL N III SMITH (MD)?
NPPES ties DR. RUSSEL N III SMITH (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. RUSSEL N III SMITH (MD) tied to Roosevelt, Utah?
If you are local to Roosevelt, Utah, DR. RUSSEL N III SMITH (MD) may be relevant to your search.
Who maintains DR. RUSSEL N III SMITH (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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