Active NPI 1902817992 Individual Practitioner Male Practitioner

Dr. Kyle James Smith , MD

Internal Medicine - Interventional Cardiology • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Smith, MD is a certified Internal Medicine - Interventional Cardiology practicing in Tyler, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Smith delivers high-quality medical care to the local community at 1783 TROUP HWY.

Dr. Smith is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, established 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

1783 Troup Hwy

Tyler, TX 757015869

Telephone 9035952283

Fax 9035972238

Associated Practice Facility / Clinic

🏢 Cardiovascular Associates Of East Texas Pa Facility NPI 1447212303

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Interventional Cardiology in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -5.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Tyler, TX (730 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (24 Years) 24 Yrs

Tyler Specialty Average (29.8 Years) 29.8 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,094	849	$19.00	$8.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	714	581	$19.00	$8.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	556	520	$687.00	$68.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	384	305	$289.00	$107.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	100	$159.00	$79.79
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	182	182	$33.00	$13.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	167	154	$24.00	$16.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$375.00	$143.60
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	97	97	$292.00	$83.38
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	96	96	$49.00	$20.87
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	81	81	$265.00	$75.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	72	72	$345.83	$32.88
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	71	69	$173.00	$12.13
93000 Routine ekg using at least 12 leads including interpretation and report	67	62	$54.00	$14.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	44	$230.62	$120.04
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	56	54	$30.00	$3.10
99213 Established patient office or other outpatient visit, typically 15 minutes	56	54	$204.00	$79.63
99238 Hospital discharge day management, 30 minutes or less	53	52	$160.00	$82.02
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	53	51	$61.00	$25.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$300.00	$132.57
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	41	41	$3680.00	$242.59
93320 Ultrasound of heart blood flow, valves and chambers	35	34	$177.00	$17.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$441.00	$171.20
93308 Ultrasound of heart, follow-up	34	34	$340.00	$24.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$406.00	$146.52
33362 Replacement of aortic valve by through femoral artery	31	31	$4334.00	$822.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	30	28	$173.00	$11.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	19	$248.57	$21.20
93312 Ultrasound of heart with probe in esophagus, with report	26	25	$831.00	$106.51
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	25	21	$1938.00	$550.05
93922 Ultrasound study of arm and leg arteries	22	22	$186.00	$11.55
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	21	21	$88.00	$7.19
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	19	13	$3825.00	$277.27
93880 Ultrasound of both sides of head and neck blood flow	17	17	$454.71	$37.61
92960 External shock to heart to regulate heart beat	16	15	$534.00	$108.25
93925 Ultrasound of leg arteries or artery grafts	13	13	$265.58	$35.25
36415 Insertion of needle into vein for collection of blood sample	13	12	$30.00	$8.65
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	12	12	$3956.00	$261.25
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	12	12	$3680.00	$266.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	777	603	$19.63	$7.94
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	730	615	$19.00	$7.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	353	$321.27	$112.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	408	370	$670.96	$66.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	313	125	$180.12	$77.03
93000 Routine ekg using at least 12 leads including interpretation and report	197	179	$55.43	$13.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$433.90	$144.61
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	119	119	$38.43	$13.61
93970 Ultrasound study of arm or leg veins with compression and maneuvers	83	82	$133.59	$32.16
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	71	71	$299.77	$82.68
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	67	67	$57.46	$20.59
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	61	61	$267.23	$73.79
99213 Established patient office or other outpatient visit, typically 15 minutes	55	54	$212.73	$75.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$340.41	$127.21
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	41	41	$71.98	$25.33
99238 Hospital discharge day management, 30 minutes or less	37	37	$185.57	$76.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	24	$96.43	$20.84
93922 Ultrasound study of arm and leg arteries	33	32	$146.73	$11.78
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	32	31	$3243.13	$222.11
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	31	31	$28.84	$3.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	30	30	$687.00	$67.07
33362 Replacement of aortic valve by through femoral artery	26	26	$3680.00	$780.20
93320 Ultrasound of heart blood flow, valves and chambers	25	25	$167.96	$17.36
93308 Ultrasound of heart, follow-up	24	22	$287.17	$24.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	22	$188.30	$13.66
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	22	13	$4054.82	$403.44
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	22	17	$1971.86	$505.92
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	21	$173.00	$12.11
93925 Ultrasound of leg arteries or artery grafts	21	21	$225.86	$35.29
93312 Ultrasound of heart with probe in esophagus, with report	20	20	$819.90	$103.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$503.75	$166.36
92960 External shock to heart to regulate heart beat	17	14	$546.47	$105.22
93880 Ultrasound of both sides of head and neck blood flow	16	16	$162.81	$37.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$289.00	$95.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	14	14	$3680.00	$268.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	719	487	$360.00	$123.97
93000 Routine ekg using at least 12 leads including interpretation and report	527	442	$56.00	$13.79
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	310	272	$610.00	$68.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	255	86	$246.00	$68.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	210	135	$29.00	$7.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$556.00	$162.56
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	125	124	$50.00	$14.14
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	78	78	$315.00	$83.82
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	75	14	$105.00	$10.23
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	68	68	$273.00	$75.97
93970 Ultrasound study of arm or leg veins with compression and maneuvers	65	62	$121.00	$32.87
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	63	63	$76.00	$21.04
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	54	31	$5089.00	$1085.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$469.00	$130.37
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	44	44	$91.00	$26.39
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	43	43	$2515.00	$228.10
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$244.00	$87.14
99238 Hospital discharge day management, 30 minutes or less	35	33	$246.00	$68.12
93312 Ultrasound of heart with probe in esophagus, with report	32	29	$720.00	$102.33
93320 Ultrasound of heart blood flow, valves and chambers	31	28	$64.00	$17.19
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	30	27	$12.00	$3.00
33362 Replacement of aortic valve by through femoral artery	29	29	$1500.00	$775.35
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	29	28	$2087.00	$547.74
93922 Ultrasound study of arm and leg arteries	23	23	$42.00	$11.75
92960 External shock to heart to regulate heart beat	20	18	$640.00	$101.36
99217 Hospital observation care on day of discharge	20	20	$246.00	$67.33
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	14	$525.00	$49.31
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	13	$113.13	$5.78
93308 Ultrasound of heart, follow-up	16	14	$88.00	$23.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	14	$78.00	$20.96
93925 Ultrasound of leg arteries or artery grafts	12	12	$137.00	$37.38
93880 Ultrasound of both sides of head and neck blood flow	11	11	$103.00	$37.88
93280 Programming of dual lead pacemaker system	11	11	$213.00	$80.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,891	14	$10.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	749	516	$360.00	$126.93
93000 Routine ekg using at least 12 leads including interpretation and report	524	451	$56.00	$14.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	305	272	$610.00	$69.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	85	$246.00	$70.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	189	114	$29.00	$8.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$556.00	$163.09
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	130	129	$50.00	$14.50
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	82	$121.00	$32.91
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	79	78	$273.00	$77.03
99213 Established patient office or other outpatient visit, typically 15 minutes	76	74	$244.00	$88.16
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	75	45	$5156.85	$1245.78
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	74	13	$105.00	$10.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	74	43	$78.00	$21.23
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	72	72	$315.00	$84.74
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	66	66	$76.00	$21.67
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	41	41	$2515.00	$228.97
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	34	34	$90.00	$25.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$469.00	$132.80
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	32	27	$2087.00	$520.72
99238 Hospital discharge day management, 30 minutes or less	31	31	$246.00	$70.58
93922 Ultrasound study of arm and leg arteries	29	28	$42.00	$12.07
93312 Ultrasound of heart with probe in esophagus, with report	27	26	$720.00	$107.65
93320 Ultrasound of heart blood flow, valves and chambers	25	25	$64.00	$18.00
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	25	25	$12.00	$3.15
93925 Ultrasound of leg arteries or artery grafts	22	22	$137.00	$37.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$692.00	$195.80
93280 Programming of dual lead pacemaker system	20	19	$213.00	$77.62
99217 Hospital observation care on day of discharge	19	19	$246.00	$70.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	13	$525.00	$50.45
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	14	$113.13	$6.20
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	13	13	$2775.00	$260.67
33361 Replacement of aortic valve through the skin and femoral artery	12	12	$4644.00	$725.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,022	19	$10.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	735	482	$360.00	$106.06
93000 Routine ekg using at least 12 leads including interpretation and report	510	441	$56.00	$16.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	306	284	$610.00	$73.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	259	102	$246.00	$71.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	173	119	$29.00	$8.39
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	160	158	$50.00	$14.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	123	118	$121.00	$34.28
99213 Established patient office or other outpatient visit, typically 15 minutes	110	105	$244.00	$73.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$556.00	$161.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	106	53	$78.00	$22.09
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	104	103	$76.00	$22.14
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	97	44	$5089.00	$1323.47
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	91	91	$315.00	$87.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	78	78	$273.00	$78.85
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	67	16	$105.00	$10.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	59	$483.00	$143.53
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	53	53	$90.00	$26.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$469.00	$134.47
93922 Ultrasound study of arm and leg arteries	48	47	$42.00	$12.40
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	42	42	$2515.00	$241.59
93925 Ultrasound of leg arteries or artery grafts	33	32	$137.00	$39.08
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	30	28	$2087.00	$569.49
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	27	27	$12.00	$3.22
93320 Ultrasound of heart blood flow, valves and chambers	27	27	$64.00	$18.48
93312 Ultrasound of heart with probe in esophagus, with report	27	27	$720.00	$110.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$692.00	$201.29
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	19	$117.00	$8.09
99238 Hospital discharge day management, 30 minutes or less	25	24	$246.00	$72.34
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	21	$43.00	$12.31
99217 Hospital observation care on day of discharge	21	20	$246.00	$69.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	17	$525.00	$49.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$694.00	$205.15
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	18	18	$2775.00	$213.91
92960 External shock to heart to regulate heart beat	16	16	$640.00	$108.14
33362 Replacement of aortic valve by through femoral artery	15	15	$1500.00	$819.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$610.00	$69.43
93880 Ultrasound of both sides of head and neck blood flow	12	12	$103.00	$39.75
99219 Hospital observation care, typically 50 minutes	11	11	$462.00	$117.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,582	24	$10.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	818	544	$360.00	$105.46
93000 Routine ekg using at least 12 leads including interpretation and report	621	511	$56.00	$16.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	333	312	$610.00	$72.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	124	$246.00	$69.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	171	129	$29.00	$8.40
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	150	149	$50.00	$14.69
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	128	60	$78.00	$21.66
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	105	48	$5089.00	$1306.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$556.00	$160.68
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	95	95	$76.00	$22.04
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	89	88	$315.00	$89.20
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	85	19	$105.00	$9.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers	85	85	$121.00	$34.07
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	76	76	$273.00	$78.25
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	69	68	$43.00	$12.15
99213 Established patient office or other outpatient visit, typically 15 minutes	65	64	$244.00	$71.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	63	$483.00	$142.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	59	$469.00	$133.07
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	45	45	$2515.00	$242.37
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	41	41	$90.00	$25.99
93312 Ultrasound of heart with probe in esophagus, with report	35	35	$720.00	$109.67
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	33	25	$117.00	$7.93
93922 Ultrasound study of arm and leg arteries	31	30	$42.00	$12.55
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	29	25	$2087.00	$542.47
75625 Radiological supervision and interpretation X-ray of abdominal aorta	28	14	$2255.00	$61.41
75716 Review by radiologist of both arms or legs arteries image	28	14	$2269.00	$86.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	23	$29.00	$8.43
99217 Hospital observation care on day of discharge	25	25	$246.00	$71.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$692.00	$199.63
99238 Hospital discharge day management, 30 minutes or less	22	21	$246.00	$71.95
93925 Ultrasound of leg arteries or artery grafts	22	21	$137.00	$38.07
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	18	$525.00	$48.34
93320 Ultrasound of heart blood flow, valves and chambers	18	18	$64.00	$18.36
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	18	18	$12.00	$3.20
99219 Hospital observation care, typically 50 minutes	18	18	$462.00	$134.14
33362 Replacement of aortic valve by through femoral artery	18	18	$1500.00	$927.37
93880 Ultrasound of both sides of head and neck blood flow	17	16	$103.00	$39.92
92960 External shock to heart to regulate heart beat	13	13	$640.00	$109.42
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	13	13	$115.00	$25.42
93308 Ultrasound of heart, follow-up	11	11	$88.00	$25.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$694.00	$202.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	12,200	49	$10.07	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	769	526	$360.00	$103.18
93000 Routine ekg using at least 12 leads including interpretation and report	688	545	$56.00	$16.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	457	164	$246.00	$70.99
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	357	312	$610.00	$71.54
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	202	39	$101.88	$10.05
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	160	160	$50.00	$14.42
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	152	54	$78.00	$21.41
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	139	47	$5089.00	$1422.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	101	$483.00	$139.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	103	100	$121.00	$33.58
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	97	97	$273.00	$77.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$556.00	$158.92
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	90	90	$315.00	$88.55
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	77	77	$76.00	$21.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	65	53	$29.00	$8.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	64	$469.00	$133.31
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	62	49	$117.00	$7.76
75716 Review by radiologist of both arms or legs arteries image	58	28	$2200.03	$91.17
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	55	44	$508.42	$47.22
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	53	52	$43.00	$12.21
75625 Radiological supervision and interpretation X-ray of abdominal aorta	50	24	$2175.00	$59.97
93922 Ultrasound study of arm and leg arteries	48	44	$42.00	$12.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	44	38	$29.00	$8.31
99217 Hospital observation care on day of discharge	44	43	$246.00	$71.15
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	40	40	$90.00	$24.37
93312 Ultrasound of heart with probe in esophagus, with report	39	36	$720.00	$105.68
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	34	34	$2515.00	$232.34
33362 Replacement of aortic valve by through femoral artery	29	29	$1500.00	$912.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$692.00	$197.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	13	$366.07	$101.71
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	24	23	$2087.00	$571.33
99219 Hospital observation care, typically 50 minutes	23	23	$462.00	$132.80
99238 Hospital discharge day management, 30 minutes or less	23	20	$246.00	$71.14
93880 Ultrasound of both sides of head and neck blood flow	22	22	$103.00	$39.28
93925 Ultrasound of leg arteries or artery grafts	22	21	$137.00	$38.96
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	20	11	$20613.50	$446.83
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$244.00	$70.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$694.00	$199.88
92960 External shock to heart to regulate heart beat	18	17	$640.00	$104.19
37225 Removal of plaque in arteries of leg	18	15	$72512.11	$10080.64
93926 Ultrasound of one leg arteries or artery grafts	18	11	$86.00	$23.79
93280 Programming of dual lead pacemaker system	12	12	$213.00	$53.74
76937 Ultrasonic guidance for blood vessel access	12	11	$2945.00	$28.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,360	54	$10.82	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	856	548	$360.00	$102.01
93000 Routine ekg using at least 12 leads including interpretation and report	763	557	$56.00	$16.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	584	151	$246.38	$68.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	213	190	$610.00	$62.05
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	173	43	$104.20	$9.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$556.00	$156.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	110	109	$610.00	$61.82
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	106	106	$50.00	$14.40
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	104	44	$5089.00	$1421.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	90	44	$78.00	$21.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	82	$483.00	$138.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	84	67	$29.00	$8.19
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	80	61	$113.90	$7.50
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	69	69	$76.00	$21.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	65	$469.00	$131.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	64	64	$121.00	$33.49
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	62	62	$273.00	$76.35
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	61	61	$315.00	$87.15
75716 Review by radiologist of both arms or legs arteries image	60	30	$2269.00	$85.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	60	50	$508.93	$45.87
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	56	56	$50.00	$14.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	53	52	$121.00	$33.98
75625 Radiological supervision and interpretation X-ray of abdominal aorta	50	26	$2172.48	$58.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$692.00	$193.92
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	48	48	$2515.00	$226.67
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	47	$43.00	$11.84
99238 Hospital discharge day management, 30 minutes or less	43	41	$246.00	$70.16
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	42	28	$78.00	$21.67
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	41	41	$273.00	$77.35
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	41	41	$90.00	$25.46
99217 Hospital observation care on day of discharge	36	35	$246.00	$70.43
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$244.00	$69.88
93280 Programming of dual lead pacemaker system	33	33	$213.00	$55.41
93312 Ultrasound of heart with probe in esophagus, with report	33	32	$720.00	$107.46
93880 Ultrasound of both sides of head and neck blood flow	30	30	$103.00	$39.11
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	29	25	$2087.00	$527.23
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	26	26	$76.00	$21.72
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	26	14	$20144.38	$434.81
78492 Nuclear medicine study heart muscle at rest and/or stress multiple studies	24	24	$315.00	$88.05
99219 Hospital observation care, typically 50 minutes	22	22	$462.00	$132.04
93290 Evaluation of implantable heart and blood vessel monitoring system	20	19	$103.00	$27.98
93922 Ultrasound study of arm and leg arteries	19	19	$42.00	$12.33
93283 Programming of dual lead implantable defibrillator system	16	15	$274.00	$78.73
33362 Replacement of aortic valve by through femoral artery	15	15	$1500.00	$912.08
93925 Ultrasound of leg arteries or artery grafts	15	15	$137.00	$38.49
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	15	15	$2340.00	$654.69
37225 Removal of plaque in arteries of leg	15	12	$71559.60	$9808.93
93922 Ultrasound study of arm and leg arteries	14	14	$42.00	$12.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	12	$29.00	$8.28
93925 Ultrasound of leg arteries or artery grafts	13	13	$137.00	$38.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$694.00	$198.00
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	12	12	$90.00	$25.46
92960 External shock to heart to regulate heart beat	12	12	$640.00	$107.51
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	11	11	$2775.00	$316.96

Medical Specialties & State Licenses

CMS Verified: 2026-06-29

Internal Medicine - Interventional Cardiology Primary Specialty

NUCC Taxonomy Code: 207RI0011X

State License TX M2117

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX M2117

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.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License TX M2117

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

203368001 (TX)

Commercial Insurance / Payer ID Bcbs

8F7574 (TX)

Commercial Insurance / Payer ID Rr Medicare

P00736592 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

18780 Interstate 20, Canton, TX 751033593

Phone: 9035674841

Christus Trinity Clinic

1783 Troup Hwy, Tyler, TX 757015869

Phone: 9035952283

Christus Trinity Clinic

3593 E Grande Blvd, Tyler, TX 757071400

Phone: 9038392585

Christus Trinity Clinic

719 W Coke Rd, Winnsboro, TX 754943011

Phone: 9033425227

Christus Trinity Clinic

8591 S Broadway Ave, Tyler, TX 757035470

Phone: 9036068840

Christus Trinity Clinic

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035414613

Christus Trinity Clinic

20208 State Hwy 155 S, Flint, TX 757625600

Phone: 9038256222

Christus Trinity Clinic

520 Douglas Blvd, Tyler, TX 757028307

Phone: 9035931721

Christus Trinity Clinic

1505 State Hwy 19 S, Athens, TX 757518950

Phone: 9036751725

Christus Trinity Clinic

5321 S Fm, Holly Lake Ranch, TX 757654839

Phone: 9037692990

Christus Trinity Clinic

2001 W Ferguson Rd, Mt Pleasant, TX 754552962

Phone: 9036067480

Christus Trinity Clinic

1505 S Palestine St, Athens, TX 757518950

Phone: 9036756800

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

115 Airport Rd, Sulphur Springs, TX 754822105

Phone: 9038857671

Christus Trinity Clinic

3203 S Main St, Lindale, TX 757717727

Phone: 9032664000

Christus Trinity Clinic

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035414599

Christus Trinity Clinic

803 Hwy 31 E, Chandler, TX 757580373

Phone: 9038495756

Christus Trinity Clinic

3802 Manhatton Dr, Tyler, TX 757019451

Phone: 9035098888

Christus Trinity Clinic

1302 N Pacific St, Mineola, TX 757731022

Phone: 9035695383

Christus Trinity Clinic

700 S Fleishel Ave, Tyler, TX 757012014

Phone: 9036065600

Christus Trinity Clinic

650 E Lennon Dr, Emory, TX 754403227

Phone: 9034737234

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

105 -Ii Medical Plz, Sulphur Springs, TX 754822105

Phone: 9038855439

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

3201 S Loop, Palestine, TX 758016901

Secondary Practice Locations

630 Hurst St

Center, TX 759353414

Phone: 9035952283

105 Zeid Blvd

Henderson, TX 756526070

Phone: 9035952283

3201 S Loop 256 Ste 5000

Palestine, TX 758016901

Phone: 9035952283

2001 W Ferguson Rd Ste 1000

Mt Pleasant, TX 754552962

Phone: 9035952283

1050 E Loop 304 Ste 110

Crockett, TX 758351814

Phone: 9035952283

502 E Goode St Ste 1e

Quitman, TX 757832539

Phone: 9035952283

605 W Commerce Street

Fairfield, TX 758401401

Phone: 9035952283

1108 S Buffalo St

Canton, TX 751032304

Phone: 9035952283

126 W Main St Ste C

Gun Barrel City, TX 751565404

Phone: 9035952283

1505 State Highway 19 S

Athens, TX 757518950

Phone: 9036756800

707 E Marshall Ave

Longview, TX 756015545

Phone: 9033154882

703 S Fleishel Ave Ste 5000

Tyler, TX 757012015

Phone: 9036062548

2001 W Ferguson Rd

Mount Pleasant, TX 754552925

Phone: 9035952283

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Randy Randall , MD

Internal Medicine - Cardiovascular Disease

NPI 1003847716

Doctor of Medicine (M.D.)

Dr. Scott Wright , MD

Internal Medicine - Cardiovascular Disease

NPI 1043200785

Doctor of Medicine (M.D.)

Dr. Sherif Iskander , MD

Internal Medicine - Cardiovascular Disease

NPI 1255321980

Doctor of Medicine (M.D.)

Dr. Scott Lieberman , MD

Internal Medicine - Interventional Cardiology

NPI 1326038159

Doctor of Medicine (M.D.)

Nicole Glasco , FNP-C

Nurse Practitioner - Family

NPI 1346902517

Family Nurse Practitioner (Certified)

Dr. Carl Israel , MD

Internal Medicine - Cardiovascular Disease

NPI 1396735122

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2015

Registered at 1783 TROUP HWY, TYLER, TX 757015869 (Tel: 9035952283)

📍

Updated Business Mailing Address February 13, 2015

Registered at 1783 TROUP HWY, TYLER, TX 757015869 (Tel: 9035952283)

👤

Provider Name / Credentials Updated February 13, 2015

Recorded as KYLE SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2015

Internal Medicine (License #M2117 in TX)

🟢

Initial NPI Registration & Enumeration August 11, 2006

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: 1902817992

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: June 29, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1783 Troup Hwy

Tyler, TX 757015869

Phone: 9035952283

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.