DR. THOMAS LARRY SMITH (MD) – Dermatology Physician, NPI 1184685976

DR. THOMAS LARRY SMITH (MD) is a healthcare provider. based in Woodbridge, Virginia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 0101052153 (VA). The NPI Number for DR. THOMAS LARRY SMITH (MD) is 1184685976

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS LARRY SMITH (MD)
NPI
1184685976
Phone
(703) 492-4140
Address
2200 OPITZ BLVD
Enumeration Date
31 March 2006
Last Update Date
6 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
7034924140
Graduation Year
1968 (58 years ago)
PAC ID
7719059005
Group Practice PAC ID
4082788302
Professional Enrollment ID
I20141208001119
Address ID
VA221913342WO2200XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

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Provider Addresses for DR. THOMAS LARRY SMITH (MD)

  • 2200, Opitz Boulevard, Featherstone Mobile Home Park, Woodbridge, Prince William County, Virginia, 22191, United States

    SUITE 100

    WOODBRIDGE, VA 221913321

    Phone: (703) 492-4140

    Fax: (703) 991-8104

    Type: Mailing

  • Opitz Boulevard, Featherstone Mobile Home Park, Woodbridge, Prince William County, Virginia, 2192, United States

    SUITE 100

    WOODBRIDGE, VA 221913321

    Phone: (703) 492-4140

    Fax: (703) 991-8104

    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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-03-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$100
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: 2014-12-08

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
I20101019001028IDermatologyDCTBD
I20141208001119IDermatologyVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11584$0
17003Destruction of precancer skin growth, 2-14 growths7222$0
99214Established patient office or other outpatient visit, 30-39 minutes6853$0
17000Destruction of precancer skin growth, 1 growth3731$0
17110Destruction of skin growth, 1-14 growths2218$0
View full utilization report →

Insurance plans in this area (ZIP 22191)

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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: 4082788302View full group profile
NameSpecialtyState
Physician AssistantVA
-VA
Physician AssistantGA
D E R M A T O L O G YVA
-DC
A L L E R G Y/ I M M U N O L O G YVA
Physician AssistantVA
-VA
Physician AssistantVA
P A T H O L O G YMD

Reviews

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Frequently asked questions

What is the standard ID for DR. THOMAS LARRY SMITH (MD) in the U.S.?
In the U.S., DR. THOMAS LARRY SMITH (MD) is identified by NPI 1184685976.
Quick check: is DR. THOMAS LARRY SMITH (MD) active?
Public NPPES data shows DR. THOMAS LARRY SMITH (MD) with an active NPI status right now.
What services align with DR. THOMAS LARRY SMITH (MD)'s listing?
DR. THOMAS LARRY SMITH (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. THOMAS LARRY SMITH (MD) in Woodbridge, Virginia?
For routing, start with Woodbridge, Virginia for DR. THOMAS LARRY SMITH (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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