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Active NPI 1083025134 Individual Practitioner Male Practitioner

Dr. Clinton Charles Smithson , MD

Emergency Medicine • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Smithson, MD is a certified Emergency Medicine practicing in Tyler, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Smithson delivers high-quality medical care to the local community at 800 E DAWSON ST.

Dr. Smithson is affiliated with Northeast Texas Emergency Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9036064262
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -6.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
91 Specialists

Practicing in Tyler, TX (5048 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smithson (12 Years) 12 Yrs
Tyler Specialty Average (18.4 Years) 18.4 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
99285 Emergency department visit for life threatening or functioning severity
229 224 $2350.00 $167.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
159 153 $117.00 $7.71
99284 Emergency department visit with moderate level of medical decision making
85 85 $1593.00 $115.80
99291 Critical care, first 30-74 minutes
84 83 $3026.00 $202.69

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX Q5722

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX BP10050385

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
362583207 (TX)
Medicaid State Provider ID
362583206 (TX)
Commercial Insurance / Payer ID Medicare
525037YS6P (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-048 (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-051 (TX)
Commercial Insurance / Payer ID Physician In Training Permit Number
BP10050385 (TX)
Commercial Insurance / Payer ID Mcrr
P01855291 (TX)
Commercial Insurance / Payer ID Medicare
525037YS6V (TX)
Commercial Insurance / Payer ID Medicare Rail Road
P01855287 (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-044 (TX)

Hospital & Practice Group Affiliations

Northeast Texas Emergency Physicians Pllc

800 E Dawson St, Tyler, TX 757012036

Phone: 9035938441

Secondary Practice Locations

700 Scott And White Dr

College Station, TX 778456441

Phone: 9792070100

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. James Carr , MD

Emergency Medicine

NPI 1013322619

Doctor of Medicine (M.D.)

Justin Timmons , FNP

Nurse Practitioner - Family

NPI 1093916017

Family Nurse Practitioner

David Fannon , MPAS, PA-C

Physician Assistant - Medical

NPI 1154660975

MPAS, Physician Assistant (Certified)

Carly Diviney , APRN FNP-C

Nurse Practitioner - Family

NPI 1235928425

APRNFNPC

Katharine Scheusner , NP

Nurse Practitioner - Family

NPI 1326374802

Nurse Practitioner

Dr. Nima Pakzad , MD

Emergency Medicine

NPI 1407260276

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Emergency Medicine (License #BP10050385 in TX)

NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2017

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064262)

📍
Updated Business Mailing Address November 03, 2017

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: (903) 531-5000)

👤
Provider Name / Credentials Updated November 03, 2017

Recorded as CLINTON SMITHSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Emergency Medicine (License #Q5722 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Emergency Medicine (License #Q5722 in TX)

📍
Updated Practice Location July 07, 2017

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064262)

📍
Updated Business Mailing Address July 07, 2017

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: (903) 531-5000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Emergency Medicine (License #BP10050385 in TX)

NPI Profile Active July 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2016

Registered at 700 SCOTT AND WHITE DR, COLLEGE STATION, TX 778456441 (Tel: 9792070100)

📍
Updated Business Mailing Address July 11, 2016

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547248800)

👤
Provider Name / Credentials Updated July 11, 2016

Recorded as CLINTON SMITHSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2016

Emergency Medicine (License #Q5722 in TX)

🟢
Initial NPI Registration & Enumeration May 12, 2014

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: 1083025134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2014
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 841656

Dallas, TX 752841656

Phone: 9035315000

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.