Dr. Loren James Smith , MD
Urology โข Topeka, KS
823 Sw Mulvane St
Topeka, KS 666061764
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on March 3, 2006; this date does not establish years in practice.
-
Published CMS data list 3,796 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J9030 โ Bcg live intravesical instillation, 1 mg: 1,750 service units.
- 99213 โ Established patient outpatient office visit: 541 service units.
- 99214 โ Established patient outpatient office visit: 213 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 31 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 2,299 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Tamsulosin Hcl โ 689 prescription fills, including refills.
- Oxybutynin Chloride Er (Oxybutynin Chloride) โ 218 prescription fills, including refills.
- Tolterodine Tartrate Er (Tolterodine Tartrate) โ 203 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 70% of clinicians listed under Urology in Kansas (2024, 74 clinicians with data). Median for this group: 1,967. Middle half: 754 to 3,875.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 1,882 in 2020 to 3,796 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
823 Sw Mulvane St
Topeka, KS 666061764
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 Topeka, KS. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Cotton-O'Neil Clinic Revocable Trust. 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
1993
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
846 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $227,252 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $166,759 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
4,674 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
$172,266 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $102.41 across 4 records.
By nature of payment
- Food and Beverage: $102.41 across 4 records.
Reporting-company totals
- ConvaTec Inc.: $84.41 across 3 records.
- Olympus America Inc.: $18.00 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).
Years since graduation
33 years (graduated 1993)
CMS Doctors and Clinicians data list 1993 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
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.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. 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 Dr. 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 Topeka and Kansas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Urology in Kansas (2024, 74 clinicians with data). Median for this group: 1,967. Middle half: 754 to 3,875.
Too few clinicians listed under Urology in Topeka have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Urology in Kansas (2024, 74 clinicians with data). Median for this group: $153,408. Middle half: $69,233 to $268,021.
Too few clinicians listed under Urology in Topeka have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Urology in Kansas (2024, 74 clinicians with data). Median for this group: $112,605. Middle half: $52,540 to $205,270.
Too few clinicians listed under Urology in Topeka have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Urology in Kansas (2024, 87 clinicians with data). Median for this group: 1,233. Middle half: 288 to 2,028.
Too few clinicians listed under Urology in Topeka have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Urology in Kansas (2024, 87 clinicians with data). Median for this group: $95,077. Middle half: $14,937 to $253,842.
Too few clinicians listed under Urology in Topeka have Medicare Part D data for 2024 to compare.
11 active clinicians are listed under Urology with a practice address in Topeka, KS (131 in Kansas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Topeka
45.5% of these 11 clinicians have the CMS telehealth indicator.
54.5% of these 11 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.
-
Medicare Part B services
Medicare Part B services increased 102% from 1,882 in 2020 to 3,796 in 2024.
- 2020: 1,882
- 2021: 3,276
- 2022: 2,223
- 2023: 2,194
- 2024: 3,796
-
Medicare-allowed amount
Medicare-allowed amount increased 44% from $157,774 in 2020 to $227,252 in 2024.
- 2020: $157,774
- 2021: $301,046
- 2022: $231,883
- 2023: $225,731
- 2024: $227,252
-
Paid by Medicare
Paid by Medicare increased 45% from $115,009 in 2020 to $166,759 in 2024.
- 2020: $115,009
- 2021: $224,558
- 2022: $168,348
- 2023: $165,134
- 2024: $166,759
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 104% from 1,128 in 2020 to 2,299 in 2024.
- 2020: 1,128
- 2021: 2,474
- 2022: 2,770
- 2023: 2,710
- 2024: 2,299
-
30-day fills
30-day fills increased 117% from 2,152 in 2020 to 4,674 in 2024.
- 2020: 2,152
- 2021: 4,615
- 2022: 5,428
- 2023: 5,271
- 2024: 4,674
-
Part D drug cost
Part D drug cost increased 157% from $66,941 in 2020 to $172,266 in 2024.
- 2020: $66,941
- 2021: $173,930
- 2022: $188,851
- 2023: $216,760
- 2024: $172,266
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $27.47 in 2021 to $102.41 in 2025.
- 2021: $27.47
- 2022: $83.03
- 2023: $90.93
- 2024: $81.07
- 2025: $102.41
Sources: CMS Medicare Physician & Other Practitioners (2024), 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 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): fewer than 11 records totaling $102.41.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ConvaTec Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $31.67 |
| ConvaTec Inc. |
Food and Beverage
In-kind items and services
|
GENTLECATH | General | $26.82 |
| ConvaTec Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $25.92 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $18.00 |
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 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
|
J9030
Bcg live intravesical instillation, 1 mg
|
1,750 | 12 | $6.47 | $2.88 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
541 | 445 | $130.18 | $83.45 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
213 | 178 | $191.66 | $117.81 |
|
36415
Insertion of needle into vein for collection of blood sample
|
134 | 120 | $16.00 | $8.60 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
128 | 128 | $293.64 | $153.90 |
|
52000
Diagnostic exam of bladder and urethra using an endoscope
|
119 | 100 | $414.75 | $214.50 |
|
74018
X-ray of abdomen, 1 view
|
104 | 83 | $62.75 | $17.28 |
|
99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
|
89 | 51 | $78.00 | $45.56 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
75 | 75 | $192.97 | $102.25 |
|
51702
Simple insertion of temporary bladder tube
|
58 | 20 | $193.00 | $56.20 |
|
99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
|
58 | 56 | $183.45 | $75.63 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
53 | 49 | $77.45 | $51.74 |
|
55874
Injection of biodegradable material next to prostate
|
39 | 39 | $8239.25 | $149.59 |
|
55876
Placement of device in prostate for radiation therapy
|
39 | 39 | $354.25 | $46.64 |
|
55700
Biopsy of prostate gland
|
36 | 35 | $557.80 | $217.99 |
|
76872
Ultrasound scan of pelvic region through rectum
|
36 | 35 | $392.50 | $124.67 |
|
51720
Instillation of anti-cancer drug into bladder
|
35 | 12 | $297.75 | $80.04 |
|
81003
Automated urinalysis test
|
33 | 21 | $76.64 | $2.20 |
|
52648
Complete laser vaporization of prostate including control of bleeding using an endoscope
|
27 | 27 | $5046.50 | $632.80 |
|
51797
Insertion of device into abdomen with pressure and urine flow rate study
|
24 | 24 | $491.50 | $169.08 |
|
52332
Insertion of stent in ureter using an endoscope
|
24 | 19 | $1194.05 | $134.74 |
|
52356
Crushing of stone of ureter with insertion of stent using an endoscope
|
24 | 22 | $2275.27 | $391.11 |
|
51784
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
|
22 | 22 | $344.75 | $29.20 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
22 | 22 | $130.18 | $60.79 |
|
51741
Electronic assessment of bladder emptying
|
21 | 21 | $235.00 | $6.43 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 689 | 53,402 | $9,081.59 | 231 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 218 | 13,625 | $7,737.68 | 69 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 203 | 11,291 | $22,322.42 | 62 |
| Finasteride | Finasteride | 177 | 15,600 | $2,948.93 | 57 |
| Myrbetriq | Mirabegron | 112 | 4,869 | $73,315.55 | 27 |
| Solifenacin Succinate | Solifenacin Succinate | 106 | 6,035 | $4,185.56 | 39 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 90 | 510 | $309.07 | 79 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 82 | 118 | $145.06 | 75 |
| Cefdinir | Cefdinir | 75 | 405 | $803.64 | 61 |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 71 | 3,670 | $7,569.09 | 27 |
| Methenamine Hippurate | Methenamine Hippurate | 46 | 2,445 | $4,327.31 | 14 |
| Cephalexin | Cephalexin | 42 | 210 | $135.70 | 42 |
| Estradiol | Estradiol | 40 | 1,691 | $3,070.11 | 20 |
| Trospium Chloride | Trospium Chloride | 40 | 1,963 | $2,982.67 | 15 |
| Potassium Citrate Er | Potassium Citrate | 38 | 2,040 | $1,789.35 | โ |
| Silodosin | Silodosin | 37 | 2,970 | $3,166.12 | 21 |
| Trospium Chloride Er | Trospium Chloride | 33 | 1,698 | $5,766.58 | โ |
| Terazosin Hcl | Terazosin Hcl | 32 | 2,400 | $319.37 | โ |
| Gemtesa | Vibegron | 32 | 1,150 | $18,318.77 | 16 |
| Oxybutynin Chloride | Oxybutynin Chloride | 28 | 1,730 | $792.25 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 26 | 210 | $73.41 | 23 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 217 | $487.78 | 17 |
| Dutasteride | Dutasteride | 19 | 1,050 | $432.61 | โ |
| Bethanechol Chloride | Bethanechol Chloride | 16 | 726 | $1,026.63 | โ |
| Yuvafem | Estradiol | 15 | 534 | $1,106.15 | โ |
(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
Self-certified to NPPES: 2026-06-01NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20190213003152
KS
0143397463
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
Cotton-O'neil Clinic Revocable Trust
823 Sw Mulvane St, Topeka, KS 666061764
Phone: 7852708880
Secondary Practice Locations
1500 Sw 10th Ave
Topeka, KS 666041301
Phone: 7853546000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Advanced Practice Registered Nurse
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 823 SW MULVANE ST, TOPEKA, KS 666061764 (Tel: 7852704355)
Urology (license number reported to NPPES: KS 04-41544)
Registered at 823 SW MULVANE ST, TOPEKA, KS 666061764 (Tel: 7853549591)
Registered at 3410 KIMBALL AVE, WATERLOO, IA 50702 (Tel: 3192723835)
Registered at 3410 KIMBALL AVE, WATERLOO, IA 507025735 (Tel: 3192723835)
Registered at 3410 KIMBALL AVE, WATERLOO, IA 507025735 (Tel: 3192723835)
Urology (license number reported to NPPES: IA MD-43364)
NPI status registered as active in NPPES database
Registered at 8001 YOUREE DR, SUITE 650, SHREVEPORT, LA 711152302 (Tel: 3182122840)
Registered at 8001 YOUREE DR, SUITE 650, SHREVEPORT, LA 711152302 (Tel: 3182122840)
Recorded as LOREN SMITH, MD
Urology (license number reported to NPPES: LA 20363)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Topeka
- Christina Peterson
- Dr. Alfredo Iloreta, MD
- Dr. Kristopher Carlson, MD
- Dr. Glenn Dunne, MD
- Dr. Chu-Chi Chen, MD
- Dr. Mark Brandsted, MD
Mailing Address
823 Sw Mulvane St
Topeka, KS 666061764
Phone: 7852704355