Joan K Smith , ARNP
Nurse Practitioner • Red Oak, IA
1400 Senate Ave, Suite 108
Red Oak, IA 515661271
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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NPI assigned on October 6, 2005; this date does not establish years in practice.
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Published CMS data list 4,422 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99213 — Established patient outpatient office visit: 462 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 451 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 318 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 32 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 5,627 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium — 269 prescription fills, including refills.
- Atorvastatin Calcium — 206 prescription fills, including refills.
- Losartan Potassium — 203 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 113 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: 483. Middle half: 123 to 1,956.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 4,418 in 2017 to 4,422 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
1400 Senate Ave
Suite 108
Red Oak, IA 515661271
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Montgomery County Memorial Hospital. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1994
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $86,395 in 2018
The total amount Medicare approved for these services in 2018. 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 – by Provider and Service, 2018.
Paid by Medicare
About $64,691 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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 – by Provider and Service, 2018.
30-day fills
9,807 standardized 30-day fills in 2024
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
$454,458 in 2024
The total cost of these prescriptions in 2024, 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $521.10 across 29 records.
By nature of payment
- Food and Beverage: $521.10 across 29 records.
Reporting-company totals (3 largest of 13)
- Eli Lilly and Company: $140.88 across 10 records.
- Novartis Pharmaceuticals Corporation: $78.33 across 4 records.
- Novo Nordisk Inc: $71.68 across 4 records.
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).
Years since graduation
32 years (graduated 1994)
CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Joan Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Joan Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services 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 Red Oak and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: 483. Middle half: 123 to 1,956.
Too few clinicians listed under Nurse Practitioner in Red Oak have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: $24,605. Middle half: $1,324 to $225,033.
Too few clinicians listed under Nurse Practitioner in Red Oak have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Joan Smith are from 2018.
3 active clinicians are listed under Nurse Practitioner with a practice address in Red Oak, IA (1,294 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
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 stayed about the same: 4,418 in 2017 and 4,422 in 2018.
- 2017: 4,418
- 2018: 4,422
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $86,290 in 2017 and $86,395 in 2018.
- 2017: $86,290
- 2018: $86,395
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Paid by Medicare
Paid by Medicare stayed about the same: $64,719 in 2017 and $64,691 in 2018.
- 2017: $64,719
- 2018: $64,691
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 16% from 4,854 in 2020 to 5,627 in 2024.
- 2020: 4,854
- 2021: 5,453
- 2022: 6,032
- 2023: 6,144
- 2024: 5,627
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30-day fills
30-day fills increased 28% from 7,640 in 2020 to 9,807 in 2024.
- 2020: 7,640
- 2021: 8,825
- 2022: 10,424
- 2023: 10,345
- 2024: 9,807
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Part D drug cost
Part D drug cost increased 92% from $237,142 in 2020 to $454,458 in 2024.
- 2020: $237,142
- 2021: $314,872
- 2022: $416,345
- 2023: $468,529
- 2024: $454,458
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $468.87 in 2021 to $521.10 in 2025.
- 2021: $468.87
- 2022: $889.96
- 2023: $731.34
- 2024: $625.99
- 2025: $521.10
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 – December 31, 2025): 29 records totaling $521.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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OPSUMIT | General | $29.88 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $27.05 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $26.47 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $26.32 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $24.07 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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LINZESS | General | $24.02 |
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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Hillrom - Cardiac Ambulatory Monitor | General | $23.64 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $22.53 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $21.46 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $19.70 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
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Omnipod | General | $19.61 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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CAMZYOS | General | $19.34 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $19.23 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $19.04 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $18.98 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $18.52 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $16.44 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $15.99 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $15.64 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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CAMZYOS | General | $15.55 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $15.51 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $15.26 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $15.13 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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— | General | $13.50 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $10.27 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 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 – by Provider and Service data, 2017–2018; 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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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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462 | 160 | $129.90 | $58.08 |
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36415
Insertion of needle into vein for collection of blood sample
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451 | 162 | $25.00 | $2.94 |
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96372
Injection of drug or substance under skin or into muscle
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318 | 83 | $60.00 | $16.16 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
303 | 151 | $50.00 | $9.40 |
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84132
Blood potassium level
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241 | 109 | $35.00 | $5.57 |
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84295
Blood sodium level
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241 | 109 | $30.00 | $5.82 |
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84520
Urea nitrogen level to assess kidney function, quantitative
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235 | 109 | $30.38 | $4.78 |
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82565
Blood creatinine level
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234 | 109 | $35.00 | $6.20 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
226 | 126 | $190.00 | $86.07 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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183 | 31 | $16.70 | $1.79 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
|
164 | 26 | $25.61 | $0.61 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
157 | 71 | $31.80 | $12.90 |
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80061
Blood test, lipids (cholesterol and triglycerides)
|
154 | 111 | $100.00 | $16.20 |
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82947
Blood glucose (sugar) level
|
143 | 87 | $30.00 | $4.75 |
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J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
131 | 27 | $5.37 | $1.95 |
|
80076
Liver function blood test panel
|
116 | 88 | $70.00 | $9.89 |
|
83036
Hemoglobin a1c level
|
91 | 55 | $70.00 | $11.75 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
87 | 17 | $5.79 | $0.57 |
|
85610
Blood test, clotting time
|
72 | 17 | $30.00 | $4.75 |
|
G0008
Administration of influenza virus vaccine
|
69 | 69 | $20.87 | $18.94 |
|
81002
Urinalysis, manual test
|
55 | 32 | $25.00 | $3.41 |
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90653
Influenza vaccine, inactivated
|
53 | 53 | $55.00 | $53.58 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
43 | 33 | $90.00 | $34.67 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
|
38 | 34 | $100.00 | $13.32 |
|
20610
Aspiration and/or injection of fluid from large joint
|
33 | 17 | $275.00 | $47.09 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2018; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 269 | 14,808 | $1,949.51 | 50 |
| Atorvastatin Calcium | Atorvastatin Calcium | 206 | 12,921 | $1,339.56 | 44 |
| Losartan Potassium | Losartan Potassium | 203 | 12,388 | $1,484.98 | 38 |
| Potassium Chloride | Potassium Chloride | 188 | 10,830 | $4,071.36 | 48 |
| Amlodipine Besylate | Amlodipine Besylate | 179 | 10,482 | $619.81 | 36 |
| Omeprazole | Omeprazole | 179 | 10,481 | $1,060.87 | 43 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 175 | 12,832 | $1,390.86 | 45 |
| Gabapentin | Gabapentin | 173 | 7,263 | $2,471.60 | 43 |
| Metoprolol Succinate | Metoprolol Succinate | 172 | 11,218 | $1,895.58 | 40 |
| Tramadol Hcl | Tramadol Hcl | 152 | 2,736 | $595.21 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 138 | 8,557 | $1,164.11 | 30 |
| Sertraline Hcl | Sertraline Hcl | 113 | 5,355 | $534.87 | 19 |
| Furosemide | Furosemide | 109 | 6,113 | $277.15 | 32 |
| Alprazolam | Alprazolam | 107 | 3,135 | $394.31 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 100 | 6,422 | $136.18 | 24 |
| Simvastatin | Simvastatin | 94 | 6,281 | $829.43 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 94 | 4,757 | $1,768.05 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 86 | 5,270 | $301.74 | 19 |
| Meloxicam | Meloxicam | 81 | 5,656 | $358.04 | 20 |
| Lisinopril | Lisinopril | 78 | 6,253 | $219.89 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 78 | 1,694 | $1,329.99 | 27 |
| Eliquis | Apixaban | 75 | 3,025 | $58,440.72 | 14 |
| Montelukast Sodium | Montelukast Sodium | 63 | 4,548 | $602.58 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 63 | 2,198 | $1,311.64 | 19 |
| Amitriptyline Hcl | Amitriptyline Hcl | 62 | 2,767 | $491.17 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20080826000068
IA
8628143625
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Montgomery County Memorial Hospital
2301 Eastern Ave, Red Oak, IA 515661300
Phone: 7126237000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Career & Practice History
NPI enumerated October 06, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
Po Box 498
Red Oak, IA 515660498
Phone: 7126237280