Active NPI 1902900376 Individual Practitioner Female Practitioner

Courtney J Smith , PA-C

Physician Assistant • Eagan, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Courtney Smith, PA-C is a certified Physician Assistant practicing in Eagan, MN. With approximately 20 years of clinical experience since completing medical education in 2006, Courtney Smith delivers high-quality medical care to the local community at 1885 PLAZA DR.

Courtney Smith is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1885 Plaza Dr

Eagan, MN 551222979

Telephone 9529934069

Fax 9529934095

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1659450963

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagan, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +10.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

46 Specialists

Practicing in Eagan, MN (4026 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (20 Years) 20 Yrs

Eagan Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	59	$397.11	$104.70
36415 Insertion of needle into vein for collection of blood sample	52	34	$21.50	$8.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$459.35	$103.12
82565 Blood creatinine level	25	17	$20.50	$5.02
80061 Blood test, lipids (cholesterol and triglycerides)	24	21	$53.55	$13.12
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	21	14	$27.95	$6.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	17	13	$62.00	$13.35
90480 Admn sarscov2 vacc 1 dose	11	11	$45.00	$41.80
91322 Sarscov2 vac 50 mcg/0.5ml im	11	11	$202.00	$152.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	65	$346.48	$106.23
36415 Insertion of needle into vein for collection of blood sample	64	40	$21.00	$8.27
80061 Blood test, lipids (cholesterol and triglycerides)	28	24	$52.25	$12.65
82565 Blood creatinine level	21	19	$20.00	$5.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$253.82	$107.07
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	17	16	$27.25	$6.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$357.08	$127.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$318.38	$104.13
36415 Insertion of needle into vein for collection of blood sample	57	43	$21.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$241.39	$76.25
82565 Blood creatinine level	20	20	$20.00	$4.86
80061 Blood test, lipids (cholesterol and triglycerides)	20	20	$52.25	$13.22
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	19	19	$27.25	$6.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$282.57	$101.17
36415 Insertion of needle into vein for collection of blood sample	32	30	$20.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$202.30	$73.68
80061 Blood test, lipids (cholesterol and triglycerides)	13	13	$50.25	$12.36
G0008 Administration of influenza virus vaccine	11	11	$31.00	$16.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$273.11	$91.80
36415 Insertion of needle into vein for collection of blood sample	25	18	$20.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$190.40	$62.98
82565 Blood creatinine level	13	11	$19.25	$5.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	28	$263.50	$91.13
36415 Insertion of needle into vein for collection of blood sample	36	28	$19.50	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$178.50	$62.36
82565 Blood creatinine level	19	18	$19.00	$5.58
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	18	17	$26.00	$7.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$323.43	$97.10
80061 Blood test, lipids (cholesterol and triglycerides)	14	13	$49.50	$14.58
82947 Blood glucose (sugar) level	12	12	$14.50	$4.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	23	$253.30	$90.46
36415 Insertion of needle into vein for collection of blood sample	31	25	$14.45	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$171.70	$61.26
82565 Blood creatinine level	17	16	$19.25	$6.20
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	16	14	$26.50	$8.49
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$50.50	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	34	19	$14.45	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	17	$238.80	$90.04
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$162.30	$61.26
82565 Blood creatinine level	22	12	$18.50	$4.63
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	16	13	$25.25	$5.58

Medical Specialties & State Licenses

CMS Verified: 2020-02-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10170

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

1885 Plaza Dr, Eagan, MN 551222979

Phone: 9529934001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Jeffrey Mohr , PA-C

Physician Assistant - Medical

NPI 1013271378

Physician Assistant (Certified)

Dr. Jamie Simmons , MD

Family Medicine

NPI 1467034256

Doctor of Medicine (M.D.)

Abigail Bennett , PA-C

Physician Assistant

NPI 1477938058

Physician Assistant (Certified)

Dr. Shivani Rawal , MBBS, MD

Family Medicine

NPI 1699807420

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Doctor of Medicine (M.D.)

Dr. Lindsay Behl , DO

Pediatrics

NPI 1841605003

Doctor of Osteopathic Medicine (D.O.)

Dr. Neha Sharma , MD

Family Medicine - Geriatric Medicine

NPI 1871866095

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

👤

Provider Name / Credentials Updated February 28, 2020

Recorded as COURTNEY SMITH, PAC

✅

NPI Profile Active January 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2011

Registered at 1885 PLAZA DR, EAGAN, MN 551222979 (Tel: 9529934069)

📍

Updated Business Mailing Address January 07, 2011

Registered at 1885 PLAZA DR, EAGAN, MN 551222979 (Tel: 9529934069)

👤

Provider Name / Credentials Updated January 07, 2011

Recorded as COURTNEY BULL, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2011

Physician Assistant (License #10170 in MN)

🟢

Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902900376

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 07, 2006

Last Update: February 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1885 Plaza Dr

Eagan, MN 551222979

Phone: 9529934069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.