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Deactivated NPI 1578567186 Deactivated / Inactive NPI Male Practitioner

Dr. Tony Bryan Smitherman , MD

Specialist • Lubbock, TX

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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, Dr. Tony Smitherman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2005
NPI Deactivation Date January 30, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Tony Smitherman, MD was a registered Specialist practicing in Lubbock, TX. Throughout an active medical career spanning 20 years, Dr. Smitherman provided care at the practice location at 4642 N LOOP 289 until profile deactivation on 2025-01-30.

Historical Medicare Part B clinical services included injection, methylprednisolone acetate, 1 mg, x-ray of knee, 3 views, aspiration and/or injection of fluid from large joint. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4642 N Loop 289
Ste 101

Lubbock, TX 794162422

Telephone 8067974985
Fax 8067928588
Associated Practice Facility / Clinic
🏢 Pinnacle Imaging, Lp Facility NPI 1538270277

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Lubbock, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.5% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
16,880 151 $0.28 $0.13
73562 X-ray of knee, 3 views
178 123 $124.30 $35.67
20610 Aspiration and/or injection of fluid from large joint
165 149 $209.09 $68.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
93 90 $95.00 $50.12
73030 X-ray of shoulder, minimum of 2 views
41 32 $114.15 $30.46
99213 Established patient office or other outpatient visit, typically 15 minutes
38 38 $165.00 $80.82
73564 X-ray of knee, 4 or more views
16 13 $139.00 $41.16
73502 X-ray of hip, 2-3 views
16 16 $135.00 $41.45

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX J4530

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Charity Purser , FNP

Nurse Practitioner

NPI 1215030408

Family Nurse Practitioner

Erica Carter , FNP-C

Nurse Practitioner

NPI 1225546682

Family Nurse Practitioner (Certified)

Bruce Satterfield , FNP-C

Nurse Practitioner - Family

NPI 1235520081

Family Nurse Practitioner (Certified)

NPI 1245234871

Doctor of Medicine (M.D.)

NPI 1306840947

Doctor of Medicine (M.D.)

Darla Gleaves , LAT

Specialist/Technologist - Athletic Trainer

NPI 1306932116

Licensed Athletic Trainer

Career & Practice History Timeline

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

9 Historical Events
⚠️
NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

📍
Updated Practice Location February 04, 2022

Registered at 301 UTICA AVE, LUBBOCK, TX 794163111 (Tel: 8067974985)

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Updated Business Mailing Address February 04, 2022

Registered at 301 UTICA AVE, LUBBOCK, TX 794163111 (Tel: 8067974985)

NPI Profile Active February 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2008

Registered at 4642 N LOOP 289, STE 101, LUBBOCK, TX 794162422 (Tel: 8067974985)

📍
Updated Business Mailing Address February 12, 2008

Registered at 4642 N LOOP 289, STE 101, LUBBOCK, TX 794162422 (Tel: 8067974985)

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Provider Name / Credentials Updated February 12, 2008

Recorded as TONY SMITHERMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2008

Specialist (License #J4530 in TX)

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Initial NPI Registration & Enumeration June 10, 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: 1578567186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: February 12, 2008
Deactivation Date: January 30, 2025

Mailing Address

4642 N Loop 289, Ste 101

Lubbock, TX 794162422

Phone: 8067974985

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.