Deactivated NPI 1477535698 Deactivated / Inactive NPI Male Practitioner

Daryl Edson Smith , PA-C

Physician Assistant - Surgical • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daryl Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2005

NPI Deactivation Date July 20, 2020

Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Daryl Smith, PA-C was a registered Physician Assistant - Surgical practicing in Albuquerque, NM. Throughout an active medical career spanning 15 years, Daryl Smith provided care at the practice location at 4504 WAYNESBORO RD NW until profile deactivation on 2020-07-20.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4504 Waynesboro Rd Nw

Albuquerque, NM 871203823

Telephone 5058978642

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Albuquerque, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.9 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Albuquerque, NM (70 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$64.29	$43.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	87	$69.36	$45.30
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$65.00	$43.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$97.81	$65.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$94.00	$67.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	124	$67.68	$43.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	78	$101.72	$66.50
99213 Established patient office or other outpatient visit, typically 15 minutes	54	54	$62.70	$43.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$94.00	$66.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	128	$68.73	$43.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	60	$118.40	$68.35
99213 Established patient office or other outpatient visit, typically 15 minutes	50	50	$61.00	$42.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$94.00	$65.81

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NM 92 PA-20

Definition to come...

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated July 20, 2020

Record deactivated on July 20, 2020

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NPI Profile Active January 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 04, 2013

Registered at 4504 WAYNESBORO RD NW, ALBUQUERQUE, NM 871203823 (Tel: 5058978642)

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Updated Business Mailing Address January 04, 2013

Registered at 4504 WAYNESBORO RD NW, ALBUQUERQUE, NM 871203823 (Tel: 5058978642)

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Provider Name / Credentials Updated January 04, 2013

Recorded as DARYL SMITH, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2013

Physician Assistant (License #92 PA-20 in NM)

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Initial NPI Registration & Enumeration November 15, 2005

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: 1477535698

Entity Type:

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

Enumeration Date: November 15, 2005

Last Update: January 04, 2013

Deactivation Date: July 20, 2020

Update or Correct Profile

Mailing Address

4504 Waynesboro Rd Nw

Albuquerque, NM 871203823

Phone: 5058978642

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.