Active NPI 1265438519 Individual Practitioner Male Practitioner

Dr. Marcus Darnell Smith , MD

Hospitalist • Shenandoah, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Smith, MD is a certified Hospitalist practicing in Shenandoah, TX. With approximately 27 years of clinical experience since graduating from Howard University College Of Medicine in 1999, Dr. Smith delivers high-quality medical care to the local community at 17201 I H 45 S.

Dr. Smith is affiliated with Tmh Physician Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17201 I H 45 S

Shenandoah, TX 773853311

Telephone 9362702099

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Shenandoah, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +9.7 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 19.2 Yrs

Regional Practice Density

73 Specialists

Practicing in Shenandoah, TX (1587 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (27 Years) 27 Yrs

Shenandoah Specialty Average (17.3 Years) 17.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	355	162	$158.00	$74.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	229	144	$226.00	$112.03
99238 Hospital discharge day management, 30 minutes or less	78	77	$158.00	$76.22
99239 Hospital discharge day management, more than 30 minutes	50	50	$233.00	$106.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	412	205	$226.00	$113.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	232	122	$158.00	$76.03
99239 Hospital discharge day management, more than 30 minutes	149	148	$233.00	$108.11
99238 Hospital discharge day management, 30 minutes or less	13	13	$158.00	$72.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	530	220	$226.00	$97.60
99239 Hospital discharge day management, more than 30 minutes	96	92	$233.00	$100.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	54	$158.00	$68.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$441.00	$189.95
99220 Hospital observation care, typically 70 minutes	32	32	$402.00	$171.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	587	244	$226.00	$99.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	109	$158.00	$69.53
99239 Hospital discharge day management, more than 30 minutes	63	63	$233.00	$101.35
99238 Hospital discharge day management, 30 minutes or less	48	47	$158.00	$69.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$441.00	$193.71
99226 Subsequent observation care, typically 35 minutes per day	22	22	$228.00	$96.10
99220 Hospital observation care, typically 70 minutes	20	20	$402.00	$175.97
99217 Hospital observation care on day of discharge	14	14	$159.00	$65.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	560	210	$158.00	$69.96
99238 Hospital discharge day management, 30 minutes or less	125	121	$158.00	$71.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	56	$226.00	$99.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$301.00	$135.13
99220 Hospital observation care, typically 70 minutes	26	26	$402.00	$181.82
99239 Hospital discharge day management, more than 30 minutes	21	21	$233.00	$105.50
99226 Subsequent observation care, typically 35 minutes per day	21	20	$228.00	$103.04
99217 Hospital observation care on day of discharge	20	20	$159.00	$71.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$441.00	$190.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	716	260	$158.00	$70.05
99238 Hospital discharge day management, 30 minutes or less	116	114	$158.00	$68.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	45	$226.00	$99.85
99239 Hospital discharge day management, more than 30 minutes	39	39	$233.00	$102.22
99217 Hospital observation care on day of discharge	34	34	$159.00	$70.89
99220 Hospital observation care, typically 70 minutes	33	33	$402.00	$180.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$305.03	$127.20
99226 Subsequent observation care, typically 35 minutes per day	23	21	$228.00	$102.01
99225 Subsequent observation care, typically 25 minutes per day	13	13	$159.00	$71.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	745	295	$175.97	$70.82
99239 Hospital discharge day management, more than 30 minutes	138	133	$270.64	$104.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	123	$356.70	$132.21
99238 Hospital discharge day management, 30 minutes or less	85	85	$158.79	$71.12
99217 Hospital observation care on day of discharge	76	75	$171.83	$70.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	40	$234.91	$101.83
99220 Hospital observation care, typically 70 minutes	53	52	$460.08	$180.96
99225 Subsequent observation care, typically 25 minutes per day	53	42	$167.58	$71.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$449.36	$197.74
99219 Hospital observation care, typically 50 minutes	26	26	$293.00	$128.71
99226 Subsequent observation care, typically 35 minutes per day	19	18	$233.05	$102.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,281	328	$223.00	$67.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	314	257	$422.00	$128.48
99239 Hospital discharge day management, more than 30 minutes	256	224	$331.00	$100.58
99220 Hospital observation care, typically 70 minutes	70	67	$573.00	$174.64
99217 Hospital observation care on day of discharge	54	52	$224.00	$68.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	25	$321.00	$98.90
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	36	36	$671.00	$205.59
99225 Subsequent observation care, typically 25 minutes per day	24	20	$224.00	$68.30

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License TX M0278

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX M0278

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

170716803 (TX)

Commercial Insurance / Payer ID Bcbs

854652

Hospital & Practice Group Affiliations

Tmh Physician Associates Pllc

16605 Sw Fwy 410, Sugar Land, TX 774793500

Phone: 2812740148

Tmh Physician Associates Pllc

16605 Southwest Fwy, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500

Phone: 2812750800

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Alexandria Allen , MD

Hospitalist

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Doctor of Medicine (M.D.)

Monica Arnell

Hospitalist

NPI 1134574171

Dr. Hesham Mohamed , MD

Hospitalist

NPI 1174973937

Doctor of Medicine (M.D.)

Sheema Zafar

Hospitalist

NPI 1194387142

Kathryn Kelley , ACUTE CARE NURSE PRA

Nurse Practitioner - Acute Care

NPI 1205011053

ACUTECARENURSEPRA

Dr. Ahmed Abdelkarim , MD

Hospitalist

NPI 1215171103

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 16, 2018

Registered at 17201 I H 45 S, SHENANDOAH, TX 773853311 (Tel: 9362702099)

📍

Updated Business Mailing Address August 16, 2018

Registered at 17201 I H 45 S, SHENANDOAH, TX 773853311 (Tel: 9362702099)

✅

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2012

Registered at 6700 WOODLANDS PKWY, SUITE 230-312, THE WOODLANDS, TX 773822575 (Tel: 2814654555)

📍

Updated Business Mailing Address October 01, 2012

Registered at 6700 WOODLANDS PKWY, SUITE 230-312, THE WOODLANDS, TX 773822575 (Tel: 2814654555)

👤

Provider Name / Credentials Updated October 01, 2012

Recorded as MARCUS SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Internal Medicine (License #M0278 in TX)

🟢

Initial NPI Registration & Enumeration June 22, 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: 1265438519

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: August 16, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

17201 I H 45 S

Shenandoah, TX 773853311

Phone: 9362702099

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.