Active NPI 1306023114 Individual Practitioner Male Practitioner

Dr. Matthew Thomas Smetanick , DO

Dermatology • Burnet, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Smetanick, DO is a certified Dermatology practicing in Burnet, TX. With approximately 22 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2004, Dr. Smetanick delivers high-quality medical care to the local community at 200 JOHN HOOVER PKWY.

Dr. Smetanick is affiliated with Mountain West Derm - Blackhart Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 John Hoover Pkwy
Bldg 4, Suite B

Burnet, TX 78611

Telephone 5129303909

Fax 5128695868

Associated Practice Facility / Clinic

🏢 Vitalogy P.a. Facility NPI 1023215662

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Burnet, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Burnet, TX (1210 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smetanick (22 Years) 22 Yrs

Burnet Specialty Average (22.0 Years) 22.0 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
17003 Destruction of precancer skin growth, 2-14 growths	1,667	292	$13.88	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	1,541	1,112	$186.86	$86.42
17110 Destruction of up to 14 skin growths	516	433	$241.04	$102.39
17000 Destruction of skin growth	494	394	$138.30	$47.19
11102 Tangential biopsy of single skin lesion	408	362	$220.88	$81.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$228.90	$106.34
11103 Biopsy of related skin growth, each additional growth	171	105	$111.54	$47.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	144	$115.76	$53.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	116	$264.90	$121.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	98	88	$649.76	$282.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	79	67	$519.73	$114.36
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$155.51	$66.41
69100 Biopsy of ear	43	40	$211.38	$66.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	20	$5.87	$0.96
17111 Destruction of skin growth, 15 or more growths	38	35	$280.96	$122.49
10040 Acne surgery	34	33	$245.74	$105.07
17004 Destruction of precancer skin growth, 15 or more growths	33	30	$348.08	$158.41
11104 Punch biopsy, first skin growth	23	23	$275.62	$117.76
10060 Simple or single drainage of skin abscess	22	22	$257.80	$120.87
11900 Injection into skin growth, 1-7 growths	21	16	$117.98	$40.24
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	17	$558.40	$247.67
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$593.66	$132.21
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$363.30	$81.73
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	13	11	$705.28	$305.14
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	13	12	$329.98	$73.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,611	281	$13.87	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	1,359	945	$186.78	$86.98
17000 Destruction of skin growth	492	386	$138.30	$48.36
17110 Destruction of up to 14 skin growths	460	393	$241.03	$106.11
11102 Tangential biopsy of single skin lesion	392	339	$220.88	$86.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$228.90	$106.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	141	$115.42	$54.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	80	$264.90	$121.98
11103 Biopsy of related skin growth, each additional growth	123	86	$111.54	$48.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	106	90	$649.76	$293.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	85	72	$519.73	$118.24
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$155.51	$69.59
69100 Biopsy of ear	55	48	$211.38	$72.95
17111 Destruction of skin growth, 15 or more growths	36	32	$280.96	$128.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	22	$5.87	$1.08
11900 Injection into skin growth, 1-7 growths	24	22	$117.96	$40.22
17004 Destruction of precancer skin growth, 15 or more growths	23	21	$348.08	$163.11
10040 Acne surgery	22	21	$245.74	$102.19
10060 Simple or single drainage of skin abscess	21	21	$257.80	$115.81
11104 Punch biopsy, first skin growth	17	17	$275.62	$121.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$340.86	$152.63
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	12	$553.78	$246.27
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$363.30	$83.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,116	357	$13.88	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	1,473	1,009	$186.81	$87.49
17000 Destruction of skin growth	608	483	$138.30	$46.33
11102 Tangential biopsy of single skin lesion	544	461	$220.83	$85.04
17110 Destruction of up to 14 skin growths	497	424	$241.04	$106.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$228.90	$108.05
11103 Biopsy of related skin growth, each additional growth	238	139	$111.54	$49.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	111	$264.90	$123.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	144	125	$649.76	$295.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	122	$115.57	$54.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	113	93	$519.73	$116.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	67	24	$5.87	$1.13
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$155.51	$70.23
69100 Biopsy of ear	50	46	$211.38	$63.85
17004 Destruction of precancer skin growth, 15 or more growths	43	38	$348.08	$164.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	20	$42.94	$13.91
17111 Destruction of skin growth, 15 or more growths	32	30	$280.96	$122.85
10060 Simple or single drainage of skin abscess	31	28	$257.80	$113.71
11104 Punch biopsy, first skin growth	28	27	$275.62	$124.43
11900 Injection into skin growth, 1-7 growths	28	21	$117.98	$33.60
10040 Acne surgery	23	22	$245.74	$110.75
11105 Punch biopsy, each additional skin growth	19	14	$128.62	$58.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$593.66	$128.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$374.36	$141.67
88305 Pathology examination of tissue using a microscope, intermediate complexity	15	12	$147.68	$36.58
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	12	$415.32	$96.55
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$311.74	$126.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$340.86	$161.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,196	357	$13.61	$6.43
99213 Established patient office or other outpatient visit, typically 15 minutes	1,430	947	$184.09	$89.55
17000 Destruction of skin growth	639	478	$138.29	$46.62
11102 Tangential biopsy of single skin lesion	570	471	$219.12	$89.42
17110 Destruction of up to 14 skin growths	401	354	$240.56	$107.88
11103 Biopsy of related skin growth, each additional growth	256	155	$111.23	$52.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$228.61	$109.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	108	$261.18	$127.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	123	107	$648.82	$298.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	115	88	$519.73	$120.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	90	$112.60	$55.12
69100 Biopsy of ear	66	61	$211.38	$67.37
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$155.51	$71.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	22	$5.87	$1.29
17004 Destruction of precancer skin growth, 15 or more growths	39	34	$343.32	$159.91
11104 Punch biopsy, first skin growth	33	33	$275.62	$124.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	16	$42.94	$13.90
10040 Acne surgery	26	26	$245.15	$108.35
17111 Destruction of skin growth, 15 or more growths	25	23	$280.39	$131.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$593.66	$138.75
11105 Punch biopsy, each additional skin growth	15	11	$128.62	$60.14
10060 Simple or single drainage of skin abscess	15	14	$255.92	$117.55
11900 Injection into skin growth, 1-7 growths	15	14	$117.92	$49.97
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	13	$690.43	$331.89
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$374.36	$139.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,619	295	$10.97	$5.91
99213 Established patient office or other outpatient visit, typically 15 minutes	860	635	$151.03	$73.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	453	$222.88	$106.98
17000 Destruction of skin growth	506	397	$138.05	$45.22
11102 Tangential biopsy of single skin lesion	490	414	$195.00	$87.14
17110 Destruction of up to 14 skin growths	316	276	$235.14	$107.38
11103 Biopsy of related skin growth, each additional growth	222	137	$105.26	$51.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	149	118	$519.39	$121.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	131	116	$632.78	$288.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$222.85	$105.22
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$155.48	$74.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	28	$5.87	$1.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	59	$91.17	$44.47
69100 Biopsy of ear	55	53	$211.31	$71.20
17004 Destruction of precancer skin growth, 15 or more growths	30	25	$301.25	$151.60
17111 Destruction of skin growth, 15 or more growths	25	23	$277.40	$129.04
11104 Punch biopsy, first skin growth	22	21	$245.39	$123.57
10040 Acne surgery	22	22	$230.28	$100.14
10060 Simple or single drainage of skin abscess	18	17	$248.41	$115.85
11900 Injection into skin growth, 1-7 growths	17	15	$117.39	$33.42
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	14	$653.29	$320.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$42.95	$13.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,053	362	$10.76	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	1,185	822	$148.16	$71.33
11102 Tangential biopsy of single skin lesion	700	551	$191.33	$84.24
17000 Destruction of skin growth	673	490	$135.44	$44.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	553	456	$218.58	$104.55
17110 Destruction of up to 14 skin growths	374	312	$230.62	$103.25
11103 Biopsy of related skin growth, each additional growth	325	197	$103.28	$50.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	174	127	$509.54	$119.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$218.48	$103.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	31	$5.75	$1.57
99202 New patient office or other outpatient visit, typically 20 minutes	98	98	$152.46	$73.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	74	$89.44	$43.23
69100 Biopsy of ear	71	64	$207.24	$65.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	71	63	$874.48	$413.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	56	$620.74	$284.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	46	43	$811.40	$380.02
11104 Punch biopsy, first skin growth	30	30	$240.57	$112.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	20	$42.10	$15.98
17004 Destruction of precancer skin growth, 15 or more growths	25	22	$295.72	$145.53
11105 Punch biopsy, each additional skin growth	24	17	$118.36	$58.25
10060 Simple or single drainage of skin abscess	22	22	$243.54	$114.45
10040 Acne surgery	21	21	$225.76	$96.78
11900 Injection into skin growth, 1-7 growths	16	15	$115.22	$35.00
17111 Destruction of skin growth, 15 or more growths	14	13	$271.96	$125.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$582.02	$136.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,909	494	$11.05	$5.01
99213 Established patient office or other outpatient visit, typically 15 minutes	1,524	1,065	$144.92	$70.25
17000 Destruction of skin growth	915	668	$134.34	$46.20
11100 Biopsy of single growth of skin and/or tissue	914	732	$212.80	$91.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	643	535	$216.26	$103.52
11101 Biopsy of each additional growth of skin and/or tissue	520	300	$65.58	$31.21
17110 Destruction of up to 14 skin growths	436	368	$226.19	$105.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	240	50	$5.75	$1.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	203	158	$497.85	$118.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$214.37	$103.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	124	102	$859.28	$407.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	112	$86.02	$42.13
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$150.66	$72.25
69100 Biopsy of ear	104	94	$205.15	$65.06
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	74	66	$802.63	$379.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	31	$41.51	$19.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	39	$600.89	$286.35
17004 Destruction of precancer skin growth, 15 or more growths	40	30	$290.06	$138.82
11900 Injection into skin growth, 1-7 growths	38	29	$110.98	$41.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$568.60	$136.73
10060 Simple or single drainage of skin abscess	22	18	$240.20	$111.97
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	13	$342.56	$80.10
17111 Destruction of skin growth, 15 or more growths	20	18	$252.72	$126.50
10040 Acne surgery	11	11	$225.76	$86.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,155	518	$15.00	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	1,895	1,243	$107.00	$69.74
11100 Biopsy of single growth of skin and/or tissue	1,036	793	$154.00	$89.16
17000 Destruction of skin growth	1,027	701	$120.00	$46.43
11101 Biopsy of each additional growth of skin and/or tissue	731	365	$49.00	$31.25
17110 Destruction of up to 14 skin growths	405	344	$164.00	$102.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	255	186	$370.00	$117.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	236	236	$160.00	$102.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	158	$159.00	$102.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	206	37	$5.75	$1.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	127	$64.00	$41.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	123	106	$454.00	$286.15
99202 New patient office or other outpatient visit, typically 20 minutes	116	116	$110.00	$71.44
69100 Biopsy of ear	99	90	$153.00	$67.04
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	88	70	$595.00	$375.53
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	86	80	$665.00	$405.61
17004 Destruction of precancer skin growth, 15 or more growths	43	35	$258.00	$142.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	25	$35.00	$24.03
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	24	$245.00	$78.59
10040 Acne surgery	24	23	$153.00	$74.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	22	$421.00	$134.82
11900 Injection into skin growth, 1-7 growths	19	17	$83.00	$41.74
10060 Simple or single drainage of skin abscess	17	16	$170.00	$111.82
17111 Destruction of skin growth, 15 or more growths	14	13	$195.00	$124.25

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX N4111

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License PA OS014480

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tx Medical License

N4111 (TX)

Hospital & Practice Group Affiliations

Mountain West Derm - Blackhart Pllc

200 County Rd, Burnet, TX 786114537

Phone: 5127562525

Secondary Practice Locations

208 Highway 71 W

Bastrop, TX 786023727

Phone: 5123219400

1309 Mormon Mill Rd

Marble Falls, TX 786544602

Phone: 8307981144

Practice Associates & Co-Workers

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

14 Associated Practitioners

Arpy Kothari , PA

Physician Assistant

NPI 1134504202

Physician Assistant

Dr. Eric Adelman , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1194766444

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Cabrera , MD

Dermatology

NPI 1245242262

Doctor of Medicine (M.D.)

Dr. Christopher Conner , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1477501005

Doctor of Medicine (M.D.)

Dr. Seth Bernacki , DO

Dermatology

NPI 1528646775

Doctor of Osteopathic Medicine (D.O.)

Brian Nailling , PA-C

Physician Assistant

NPI 1639305428

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 28, 2019

Registered at 200 JOHN HOOVER PKWY, BLDG 4, SUITE B, BURNET, TX 78611 (Tel: 5129303909)

📍

Updated Business Mailing Address May 28, 2019

Registered at 4513 WILLIAMS DR, GEORGETOWN, TX 786331302 (Tel: 5129303909)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2019

Dermatology (License #OS014480 in PA)

✅

NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2013

Registered at 3010 WILLIAMS DR, SUITE 177, GEORGETOWN, TX 786282764 (Tel: 5129303909)

📍

Updated Business Mailing Address June 05, 2013

Registered at 3010 WILLIAMS DR, SUITE 177, GEORGETOWN, TX 786282764 (Tel: 5129303909)

👤

Provider Name / Credentials Updated June 05, 2013

Recorded as MATTHEW SMETANICK, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Dermatology (License #N4111 in TX)

🟢

Initial NPI Registration & Enumeration January 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306023114

Entity Type:

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

Enumeration Date: January 23, 2008

Last Update: May 28, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4513 Williams Dr

Georgetown, TX 786331302

Phone: 5129303909

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

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