LARA ENID SMITH (MD) – Family Medicine Physician, NPI 1215386800
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for LARA ENID SMITH (MD)
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
BREMERTON, WA 983121898
Phone: (360) 475-5328
Type: Mailing
109 STATE ST STE 5
BOSTON, MA 021092906
Phone: (617) 505-1520
Type: Mailing
109 STATE ST
5TH FL
BOSTON, MA 021092906
Phone: (617) 505-1520
Fax: (617) 928-8401
Type: Mailing
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $50 |
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: 2024-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20180917000233 | I | Family Practice | SC | TBD |
| I20230821003312 | I | Family Practice | WA | TBD |
| I20240802003237 | I | Family Practice | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Physician Assistant | MA | |
| E N D O C R I N O L O G Y | MA | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Family Practice | NJ | |
| Internal Medicine, Hospitalist | CA | |
| E N D O C R I N O L O G Y | TX |
Reviews
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