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Active NPI 1114023942 Individual Practitioner Male Practitioner

Douglas R Smith , PA

Physician Assistant • Princeton, WV

Professional Overview & Biography Verified Profile Summary

Douglas Smith, PA is a registered healthcare professional specializing in Physician Assistant in Princeton, WV. Practice services are available at 122 12TH STREET EXT under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low 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

122 12th Street Ext

Princeton, WV 247402352

Telephone 3044877275
Associated Practice Facility / Clinic
🏢 Biomedical Services Inc Facility NPI 1558353250

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Princeton, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Princeton, WV (1163 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.9% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
135 130 $1316.00 $145.46
99284 Emergency department visit with moderate level of medical decision making
83 80 $876.00 $97.79
99283 Emergency department visit with low level of medical decision making
30 28 $561.00 $52.47
99291 Critical care, first 30-74 minutes
15 15 $1603.00 $187.17

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WV PENDING

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
PENDING (WV)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Timothy Prescott , PA-C

Physician Assistant

NPI 1104868231

Physician Assistant (Certified)

Brandon Fain , PA-C

Physician Assistant - Medical

NPI 1447458609

Physician Assistant (Certified)

Adam Hodovan , APRN-BC

Nurse Practitioner - Family

NPI 1497889315

APRNBC

Melissa Lilly , PA-C

Physician Assistant - Medical

NPI 1992971253

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 122 12TH STREET EXT, PRINCETON, WV 247402352 (Tel: 3044877275)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 379321984

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS SMITH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PENDING in WV)

🟢
Initial NPI Registration & Enumeration September 16, 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: 1114023942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1431 Centerpoint Blvd, Suite 100

Knoxville, TN 379321984

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.