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Active NPI 1275648834 Individual Practitioner Female Practitioner

Maryellen Warro Smith , PA

Physician Assistant • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maryellen Smith, PA is a certified Physician Assistant practicing in Tyler, TX. With approximately 26 years of clinical experience since completing medical education in 2000, Maryellen Smith delivers high-quality medical care to the local community at 5414 S BROADWAY AVE.

Maryellen Smith maintains professional affiliations with Mother Frances Hospital Regional Health Care Center, Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5414 S Broadway Ave

Tyler, TX 757031335

Telephone 9035811601
Associated Practice Facility / Clinic
🏢 G P Goodfried Md Pa Facility NPI 1639313851

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +8.9 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (26 Years) 26 Yrs
Tyler Specialty Average (17.1 Years) 17.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
219 152 $325.63 $81.66
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
147 115 $22.26 $13.60
99213 Established patient office or other outpatient visit, typically 15 minutes
96 88 $260.65 $57.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
52 52 $295.00 $109.12
99442 Telephone medical discussion with physician, 11-20 minutes
14 11 $204.00 $54.59
99495 Transitional care management services for problem of at least moderate complexity
12 11 $463.00 $116.08

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04930

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
337319301 (TX)
Medicaid State Provider ID
337319303 (TX)
Medicaid State Provider ID
337319302 (TX)
Medicaid State Provider ID
337319304 (TX)
Commercial Insurance / Payer ID Bcbs
8547ND (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-048 (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-044 (TX)
Commercial Insurance / Payer ID Tricare
75-2616977-001 (TX)
Commercial Insurance / Payer ID Tricare
75-0818167-022 (TX)
Commercial Insurance / Payer ID Bcbs
8545ND (TX)

Hospital & Practice Group Affiliations

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Christus Trinity Clinic

3593 E Grande Blvd, Tyler, TX 757071400

Phone: 9038392585

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Phone: 9035314888

Christus Trinity Clinic

2101 W Loop, Longview, TX 756042506

Phone: 9033155600

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

3802 Manhatton Dr, Tyler, TX 757019451

Phone: 9035098888

Christus Trinity Clinic

5321 S Fm, Holly Lake Ranch, TX 757654839

Phone: 9037692990

Mother Frances Hospital Regional Health Care Center

5414 S Broadway Ave, Tyler, TX 757031335

Phone: 9035315010

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Practice Associates & Co-Workers

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

20 Associated Practitioners
Jeremy Troyer , FNP

Nurse Practitioner

NPI 1013483361

Family Nurse Practitioner

Dr. Michelle Parker , MD

Emergency Medicine

NPI 1093153645

Doctor of Medicine (M.D.)

Dr. Deborah Boyd , DO

Family Medicine

NPI 1205875929

Doctor of Osteopathic Medicine (D.O.)

Cynthia Shepherd , PA-C

Physician Assistant

NPI 1346349297

Physician Assistant (Certified)

Scott Stegall , PA-C

Physician Assistant - Medical

NPI 1356323034

Physician Assistant (Certified)

Jessica Atkinson , PA

Physician Assistant

NPI 1467829440

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address February 28, 2018

Registered at 1905 S DONNYBROOK AVE, TYLER, TX 757014236 (Tel: 9035973140)

NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2016

Registered at 5414 S BROADWAY AVE, TYLER, TX 757031335 (Tel: 9035811601)

📍
Updated Business Mailing Address April 01, 2016

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤
Provider Name / Credentials Updated April 01, 2016

Recorded as MARYELLEN SMITH, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Physician Assistant (License #PA04930 in TX)

🟢
Initial NPI Registration & Enumeration August 21, 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: 1275648834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: February 28, 2018
Sole Proprietor: No

Mailing Address

1905 S Donnybrook Ave

Tyler, TX 757014236

Phone: 9035973140

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.