Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871538041 Individual Practitioner Male Practitioner

Dr. Jack Coldwell Smith , MD

Internal Medicine • Carthage, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Smith, MD is a certified Internal Medicine practicing in Carthage, TX. With approximately 26 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2000, Dr. Smith delivers high-quality medical care to the local community at 409 COTTAGE RD.

Dr. Smith is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 Cottage Rd

Carthage, TX 756331466

Telephone 9036944824
Fax 9036944621
Associated Practice Facility / Clinic
🏢 Oak Hill Radiology Assoc Inc Facility NPI 1699760074

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Carthage, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -5.5 yrs vs City Avg
City Avg: 31.5 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Carthage, TX (9538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (26 Years) 26 Yrs
Carthage Specialty Average (31.5 Years) 31.5 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
93798 Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services
371 21 $44.00 $12.78

Medical Specialties & State Licenses

CMS Verified: 2023-05-04
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L3131

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
159534003 (TX)

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Etmc Physician Group, Inc.

409 Cottage Rd, Carthage, TX 756331466

Phone: 9036944790

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Venkata Samavedi , MD

Internal Medicine

NPI 1235340589

Doctor of Medicine (M.D.)

Dr. Adam Duran , MD

Family Medicine

NPI 1265675706

Doctor of Medicine (M.D.)

Cathleen Fabbiani , NP

Nurse Practitioner - Pediatrics

NPI 1326784380

Nurse Practitioner

Shannon Phillips , NP

Nurse Practitioner - Family

NPI 1811969165

Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Internal Medicine (License #L3131 in TX)

📍
Updated Practice Location October 31, 2019

Registered at 409 COTTAGE RD, CARTHAGE, TX 756331466 (Tel: 9036944824)

📍
Updated Business Mailing Address October 31, 2019

Registered at 409 COTTAGE RD, CARTHAGE, TX 756331466 (Tel: 0369448249)

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 1307 CLEVELAND AVE, FRIONA, TX 790351121 (Tel: 8062502781)

📍
Updated Business Mailing Address September 12, 2017

Registered at 1307 CLEVELAND AVE, FRIONA, TX 790351121 (Tel: (806) 250-2781)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as JACK SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Internal Medicine (License #L3131 in TX)

NPI Profile Active February 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2013

Registered at 104 E 30TH AVE, PAMPA, TX 790652822 (Tel: 8066650815)

📍
Updated Business Mailing Address February 18, 2013

Registered at 104 E 30TH AVE, PAMPA, TX 790652822 (Tel: 8066650815)

👤
Provider Name / Credentials Updated February 18, 2013

Recorded as JACK SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2013

Internal Medicine (License #L3131 in TX)

🟢
Initial NPI Registration & Enumeration June 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jack Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Jack Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871538041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2006
Last Update: May 04, 2023
Sole Proprietor: No

Mailing Address

409 Cottage Rd

Carthage, TX 756331466

Phone: 0369448249

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.