STACIA ANN SMITH (M.D.) – Orthopaedic Surgery Physician, NPI 1295734499
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for STACIA ANN SMITH (M.D.)
1401 S Laventure Rd
Mount Vernon, WA 982746033
Phone: (360) 424-2400
Fax: (360) 424-2418
Type: Location
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
1401, South LaVenture Road, Mount Vernon, Skagit County, Washington, 98274, United States
MOUNT VERNON, WA 982746033
Phone: (360) 424-2400
Fax: (360) 424-2418
Type: Location
1400 E KINCAID ST
MOUNT VERNON, WA 982744127
Phone:
Type: Mailing
901 S 5TH ST
MOUNT VERNON, WA 982743942
Phone: (360) 424-7041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $2,427.
Total Amount is formed as General ($2,427) + Research ($0) + Ownership ($0) = $2,427.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,337).
Total Amount
$2,427
General + Research + Ownership
Payments
11
Total payment records
General Amount
$2,427
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $2,337 |
| Abbott Laboratories | $90 |
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: 2011-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110112000836 | I | Orthopedic Surgery | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,920 | 37 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,134 | 230 | $0 |
| J7331 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | 620 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 525 | 389 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 336 | 209 | $0 |
Insurance plans in this area (ZIP 98274)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 64721 | Release and/or relocation of median nerve of hand | 20 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NY | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Orthopedic Surgery | WA | |
| - | WA |
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