Marcus Smith, MD
NPI 1265438519 · Hospitalist Physician · Shenandoah, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcus Smith, MD is a Hospitalist Physician provider in Shenandoah, TX (NPI 1265438519).
Provider details
- NPI number
- 1265438519
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M0278 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
712 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 355 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 229 | $112 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 78 | $76 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 50 | $107 |
Typical Medicare-allowed amounts for these services range $74–$112 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 23 | 23 |
| Atorvastatin Calcium | 22 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 20 |
| Apixabanbrand: Eliquis | 18 | 16 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 18 | 18 |
| Metoprolol Succinate | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$179 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2018-08-16
Frequently asked questions
- What is Marcus Smith's NPI number?
- Marcus Smith's National Provider Identifier (NPI) is 1265438519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcus Smith's specialty?
- Marcus Smith is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Marcus Smith located?
- Marcus Smith's practice location on file with NPPES is 17201 I H 45 S, Shenandoah, TX 77385-3311.
- What is Marcus Smith's phone number?
- The practice phone number listed in the NPPES registry for Marcus Smith is (936) 270-2099.
- Does Marcus Smith accept Medicare?
- Marcus Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcus Smith's NPI active?
- Yes — Marcus Smith's NPI (1265438519) is active in the NPPES registry as of the last update on 2018-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.