DEAN SMITH (MD) – Psychiatry Physician, NPI 1760459960

DEAN SMITH (MD) is a healthcare provider. based in Appleton, Wisconsin. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 01032019 (IN). The NPI Number for DEAN SMITH (MD) is 1760459960

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DEAN SMITH (MD)
NPI
1760459960
Phone
(920) 730-4411
Address
1531 S MADISON ST
Enumeration Date
7 March 2006
Last Update Date
29 December 2009

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9207171238
Graduation Year
1982 (44 years ago)
PAC ID
4981773314
Group Practice PAC ID
0244142420
Professional Enrollment ID
I20091012000358
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DEAN SMITH (MD)

  • 1531, South Madison Street, Appleton, Outagamie County, Wisconsin, 54915, United States

    APPLETON, WI 549151800

    Phone: (920) 730-4411

    Mailing address matches the actual address.

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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091012000358IPsychiatryWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5329$0
View full utilization report →

Insurance plans in this area (ZIP 54915)

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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: 0244142420View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEAN SMITH (MD)?
DEAN SMITH (MD) — NPI 1760459960 — is the standard way to identify this listing.
Is DEAN SMITH (MD) listed as active for patients and plans?
The listing shows DEAN SMITH (MD) as active in the NPI system.
What taxonomy line describes DEAN SMITH (MD)?
For research purposes, treat DEAN SMITH (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DEAN SMITH (MD) on a map?
Expect Appleton, Wisconsin as a primary anchor for DEAN SMITH (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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