DR. BERT JACKSON SMITH (M.D.) – Internal Medicine Physician, NPI 1497839070
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,934 INTERNAL MEDICINE in VA
Provider Addresses for DR. BERT JACKSON SMITH (M.D.)
16000 JOHNSTON MEMORIAL DR
FOURTH FLOOR
ABINGDON, VA 242117664
Phone: (276) 258-4050
Fax: (276) 258-4056
Type: Mailing
2717 EAST OAKLAND AVENUE
JOHNSON CITY, TN 376011843
Phone: (423) 926-2358
Fax: (423) 926-2680
Type: Mailing
2717 E. OAKLAND AVENUE
JOHNSON CITY, TN 37601
Phone: (423) 926-2358
Fax: (276) 258-4056
Type: Location
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 $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Corium, LLC ($76).
Total Amount
$108
General + Research + Ownership
Payments
2
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $76 |
| Novo Nordisk Inc | $32 |
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: 2025-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (894 days ago).
Enrollment records
4
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080805000250 | I | Internal Medicine | TN | TBD |
| I20151205000142 | I | Internal Medicine | VA | 2023-12-31 |
| I20210104001118 | I | Internal Medicine | GA | TBD |
| I20251203000051 | I | Internal Medicine | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 16 | 16 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 24211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine, Family Practice | TN | |
| Nurse Practitioner | OH | |
| Internal Medicine | TN | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN |
Reviews
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