DR. WILLIAM R SMITH (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1003922360

DR. WILLIAM R SMITH (MD) is a healthcare provider. based in Jackson, Wyoming. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 6990A (WY). The NPI Number for DR. WILLIAM R SMITH (MD) is 1003922360

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM R SMITH (MD)
NPI
1003922360
Phone
Not provided
Address
PO BOX 428
Enumeration Date
21 August 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077333636
Graduation Year
2004 (22 years ago)
PAC ID
5496727224
Group Practice PAC ID
4880582295
Professional Enrollment ID
I20040811000697
Address ID
WY830018642JA625XXAVEX400

Contacts

Secure Messaging
wsmith@sjmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

111 EMERGENCY MEDICINE in WY

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Provider Addresses for DR. WILLIAM R SMITH (MD)

  • 428, Works Road, Jackson, Waldo County, Maine, United States

    JACKSON, WY 830010428

    Phone:

    Type: Mailing

  • Saint John's Medical Center, 625, East Broadway Avenue, Jackson, Teton County, Wyoming, 83001, United States

    JACKSON, WY 83001

    Phone: (307) 733-3636

    Type: Location

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

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: 2013-10-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040811000697IEmergency MedicineWYTBD
I20131002000678IEmergency MedicineWITBD

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
99284Emergency department visit with moderate level of medical decision making8383$0
99283Emergency department visit with low level of medical decision making5050$0
99285Emergency department visit with high level of medical decision making4139$0
View full utilization report →

Insurance plans in this area (ZIP 83001)

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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: 4880582295View full group profile
NameSpecialtyState
-WY
-WY
Physician AssistantWY
-WY
Certified Registered Nurse Anesthetist (Crna)WY
General SurgeryWY
General SurgeryID
Qualified AudiologistWY
N E U R O L O G YDC
Family PracticeWY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. WILLIAM R SMITH (MD)?
DR. WILLIAM R SMITH (MD) — NPI 1003922360 — is the standard way to identify this listing.
Does the file indicate DR. WILLIAM R SMITH (MD) is practicing under active NPI?
Directory data currently reports DR. WILLIAM R SMITH (MD) as active.
What is DR. WILLIAM R SMITH (MD)'s primary classification?
Emergency Medical Services (Emergency Medicine) Physician is the headline specialty for DR. WILLIAM R SMITH (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. WILLIAM R SMITH (MD) on a map?
Expect Jackson, Wyoming as a primary anchor for DR. WILLIAM R SMITH (MD) unless the record lists multiple sites.
Why does DR. WILLIAM R SMITH (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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