Katherine T Smith , CDE, NP
Nurse Practitioner โข Fresno, CA
205 E River Park Cir Ste 460
Fresno, CA 93720
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Katherine Smith is listed in NPPES under Nurse Practitioner.
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NPI assigned on August 31, 2006; this date does not establish years in practice.
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Published CMS data list 30 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99221 โ Initial hospital care with straightforward or low level of medical decision making, per day: 18 service units.
- 99213 โ Established patient outpatient office visit: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 884 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Atorvastatin Calcium โ 80 prescription fills, including refills.
- Lisinopril โ 55 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) โ 54 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 37 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 160 in 2017 to 30 in 2020.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2020.
Practice Location & Contact Primary Location
205 E River Park Cir Ste 460
Fresno, CA 93720
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Fresno, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,412 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020.
Paid by Medicare
About $1,596 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020.
30-day fills
1,149 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$134,181 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019.
Open Payments general payments, program year 2025
All general payments: $1,938.92 across 16 records.
By nature of payment
- Food and Beverage: $1,938.92 across 16 records.
Reporting-company totals (3 largest of 14)
- ABBVIE INC.: $249.57 across 2 records.
- Corcept Therapeutics: $225.00 across 2 records.
- Madrigal Pharmaceuticals: $147.21 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Katherine Smith as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fresno and California
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Katherine Smith are from 2020.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Katherine Smith are from 2019.
211 active clinicians are listed under Nurse Practitioner with a practice address in Fresno, CA (8,237 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fresno
10% of these 211 clinicians have the CMS telehealth indicator.
37.4% of these 211 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 81% from 160 in 2017 to 30 in 2020.
- 2017: 160
- 2018: 74
- 2019: 35
- 2020: 30
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Medicare-allowed amount
Medicare-allowed amount decreased 73% from $8,954 in 2017 to $2,412 in 2020.
- 2017: $8,954
- 2018: $4,177
- 2019: $3,034
- 2020: $2,412
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Paid by Medicare
Paid by Medicare decreased 75% from $6,462 in 2017 to $1,596 in 2020.
- 2017: $6,462
- 2018: $2,939
- 2019: $2,278
- 2020: $1,596
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 862 in 2015 and 884 in 2019.
- 2015: 862
- 2016: 1,262
- 2017: 1,412
- 2018: 1,492
- 2019: 884
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30-day fills
30-day fills increased 29% from 893 in 2015 to 1,149 in 2019.
- 2015: 893
- 2016: 1,354
- 2017: 1,502
- 2018: 1,728
- 2019: 1,149
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Part D drug cost
Part D drug cost increased 55% from $86,487 in 2015 to $134,181 in 2019.
- 2015: $86,487
- 2016: $101,781
- 2017: $171,891
- 2018: $194,533
- 2019: $134,181
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $419.22 in 2021 to $1,938.92 in 2025.
- 2021: $419.22
- 2022: $894.89
- 2023: $724.85
- 2024: $752.42
- 2025: $1,938.92
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 16 records totaling $1,938.92.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
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REZDIFFRA | General | $147.21 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $133.08 |
| Kowa Pharmaceuticals America, Inc. |
Food and Beverage
In-kind items and services
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ZORYVE | General | $125.00 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $125.00 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $125.00 |
| ARGENX US, INC. |
Food and Beverage
In-kind items and services
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VYVGART | General | $124.99 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $124.99 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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โ | General | $124.58 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $122.77 |
| Ardelyx, Inc. |
Food and Beverage
In-kind items and services
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IBSRELA | General | $122.38 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $122.26 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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TZIELD | General | $121.84 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
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NUPLAZID | General | $113.47 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $111.37 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $100.00 |
| SpringWorks Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
GOMEKLI | General | $94.98 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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18 | 18 | $260.00 | $89.63 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 12 | $192.00 | $66.55 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 80 | 3,465 | $880.06 | 17 |
| Lisinopril | Lisinopril | 55 | 2,550 | $220.00 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 54 | 2,140 | $21,360.34 | 12 |
| Gabapentin | Gabapentin | 40 | 1,200 | $555.26 | โ |
| Humalog Kwikpen U-100 | Insulin Lispro | 37 | 1,343 | $27,198.47 | โ |
| Novolog Flexpen | Insulin Aspart | 36 | 1,462 | $22,640.24 | 11 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 36 | 1,014 | $1,735.94 | 11 |
| Amlodipine Besylate | Amlodipine Besylate | 34 | 1,320 | $127.37 | โ |
| Carvedilol | Carvedilol | 33 | 1,230 | $195.73 | โ |
| Hydralazine Hcl | Hydralazine Hcl | 29 | 1,065 | $309.24 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 25 | 1,170 | $95.02 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 25 | 1,110 | $167.00 | โ |
| Metformin Hcl | Metformin Hcl | 25 | 990 | $121.79 | โ |
| Omeprazole | Omeprazole | 23 | 1,050 | $211.42 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 20 | 750 | $228.82 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 20 | 780 | $476.67 | โ |
| Furosemide | Furosemide | 19 | 660 | $97.53 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 19 | 630 | $1,680.21 | โ |
| Trulicity | Dulaglutide | 18 | 504 | $13,769.84 | โ |
| Humalog | Insulin Lispro | 17 | 476 | $4,957.10 | โ |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 16 | 433 | $4,806.22 | โ |
| Famotidine | Famotidine | 16 | 600 | $99.42 | โ |
| Nitroglycerin | Nitroglycerin | 16 | 510 | $787.72 | โ |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 16 | 645 | $453.65 | โ |
| Tresiba Flextouch U-100 | Insulin Degludec | 16 | 538 | $5,138.66 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
NUCC Taxonomy Code: 163WD0400X
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
290 N Wayte Ln
Fresno, CA 937012124
Phone: 5594595700
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Colon & Rectal Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 205 E RIVER PARK CIR STE 460, FRESNO, CA 93720 (Tel: 5592614500)
Registered at 205 E RIVER PARK CIR STE 460, FRESNO, CA 937201585 (Tel: 5592614500)
NPI status registered as active in NPPES database
Registered at 290 N WAYTE LN, FRESNO, CA 937012124 (Tel: 5594595700)
Registered at 2625 E DIVISADERO ST, FRESNO, CA 937211431 (Tel: 5594432682)
Recorded as KATHERINE SMITH, CDE/NP
Registered Nurse (license number reported to NPPES: CA 411672)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Fresno
- Cynthia Baer, FNP
- Rose Le, NP
- Joann Garcia, NP
- Natalia Detrick
- Colleen Saliba, FNP
- Adebisi Orija, NP-C
Mailing Address
205 E River Park Cir Ste 460
Fresno, CA 937201585
Phone: 5592614500