MR. LARRY DEAN SMITH (D.O.) – Emergency Medicine Physician, NPI 1639131386
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for MR. LARRY DEAN SMITH (D.O.)
19 LAKES STREET
NESPELEM, WA 99155
Phone: (509) 422-2900
Fax: (509) 422-2946
Type: Location
19 Lakes Street
Nespelem, WA 99155
Phone: (509) 422-2900
Fax: (509) 422-2946
Type: Location
PO BOX 71
NESPELEM, WA 991550071
Phone: (509) 634-2995
Fax: (509) 634-2945
Type: Mailing
617 BENTON ST
OMAK, WA 98841
Phone: (509) 422-7416
Fax: (509) 634-2945
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: 2017-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040608001113 | I | Family Practice | WA | TBD |
| I20170724003308 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 215 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 84 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 84 | 64 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 80 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 50 | $0 |
Insurance plans in this area (ZIP 99155)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | CO | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | NM |
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