River A Smith , PA
Physician Assistant โข Grand Rapids, MI
145 Michigan St Ne Ste 3410
Grand Rapids, MI 495032563
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 March 2, 2020; this date does not establish years in practice.
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Published CMS data list 196 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.
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Published Part B service records, 2024:
- 99497 โ Advance care planning: 72 service units.
- 99349 โ Residence visit for established patient with moderate level of medical decision making, per day: 64 service units.
- 99498 โ Advance care planning: 60 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 the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 181 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.
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Published Part D records, 2024:
- Oxycodone Hcl โ 36 prescription fills, including refills.
- Pregabalin โ 27 prescription fills, including refills.
- Duloxetine Hcl โ 24 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 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 502 clinicians with data). Median for this group: 99. Middle half: 54 to 189.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: 134. Middle half: 59 to 292.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 14 in 2020 to 196 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
145 Michigan St Ne Ste 3410
Grand Rapids, MI 495032563
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: Spectrum Health Primary Care Partners. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Rush Medical College Of Rush University
2019
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 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 $15,726 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 $12,373 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
251 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
$4,247 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: $384.08 across 3 records.
By nature of payment
- Food and Beverage: $384.08 across 3 records.
Reporting-company totals
- Medtronic, Inc.: $139.43 across 1 record.
- Astellas Pharma US Inc: $124.99 across 1 record.
- AstraZeneca Pharmaceuticals LP: $119.66 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
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 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, CMS release of October 2, 2026.
NPI first issued
2020
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
River 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 River 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 Grand Rapids and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 502 clinicians with data). Median for this group: 99. Middle half: 54 to 189.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: 134. Middle half: 59 to 292.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 502 clinicians with data). Median for this group: $8,307. Middle half: $4,357 to $15,061.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: $10,685. Middle half: $4,963 to $20,340.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 502 clinicians with data). Median for this group: $6,056. Middle half: $3,195 to $11,498.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: $7,786. Middle half: $3,622 to $14,974.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 458 clinicians with data). Median for this group: 249. Middle half: 78 to 846.
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: 301. Middle half: 83 to 1,058.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 458 clinicians with data). Median for this group: $6,395. Middle half: $739 to $86,811.
Close to the middle for clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: $6,017. Middle half: $670 to $116,880.
931 active clinicians are listed under Physician Assistant with a practice address in Grand Rapids, MI (7,169 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grand Rapids
18.2% of these 931 clinicians have the CMS telehealth indicator.
70.6% of these 931 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 went from 14 in 2020 to 196 in 2024.
- 2020: 14
- 2021: 61
- 2022: 109
- 2023: 183
- 2024: 196
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Medicare-allowed amount
Medicare-allowed amount went from $865 in 2020 to $15,726 in 2024.
- 2020: $865
- 2021: $4,094
- 2022: $6,525
- 2023: $16,598
- 2024: $15,726
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Paid by Medicare
Paid by Medicare went from $574 in 2020 to $12,373 in 2024.
- 2020: $574
- 2021: $1,908
- 2022: $3,630
- 2023: $12,946
- 2024: $12,373
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 192% from 62 in 2020 to 181 in 2024.
- 2020: 62
- 2021: 468
- 2022: 910
- 2023: 264
- 2024: 181
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30-day fills
30-day fills increased 101% from 125 in 2020 to 251 in 2024.
- 2020: 125
- 2021: 1,111
- 2022: 2,239
- 2023: 621
- 2024: 251
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Part D drug cost
Part D drug cost went from $932 in 2020 to $4,247 in 2024.
- 2020: $932
- 2021: $12,950
- 2022: $30,246
- 2023: $5,367
- 2024: $4,247
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $635.87 in 2021 to $384.08 in 2025.
- 2021: $635.87
- 2022: $862.91
- 2023: $315.21
- 2024: $307.43
- 2025: $384.08
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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 $384.08.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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SYNCHROMEDII | General | $139.43 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $124.99 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $119.66 |
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 2019โ2023 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, 2020โ2024; 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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99497
Advance care planning, first 30 minutes
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72 | 28 | $195.00 | $70.47 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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64 | 21 | $294.00 | $108.86 |
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99498
Advance care planning, each additional 30 minutes
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60 | 22 | $171.00 | $61.42 |
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 |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 36 | 446 | $477.28 | 15 |
| Pregabalin | Pregabalin | 27 | 1,299 | $336.84 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 24 | 1,050 | $372.37 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 22 | 284 | $2,309.99 | โ |
| Gabapentin | Gabapentin | 21 | 917 | $342.98 | 12 |
| Sertraline Hcl | Sertraline Hcl | 17 | 758 | $128.32 | โ |
| Famotidine | Famotidine | 12 | 874 | $168.57 | โ |
| Quetiapine Fumarate | Quetiapine Fumarate | 11 | 410 | $48.46 | โ |
| Trazodone Hcl | Trazodone Hcl | 11 | 375 | $62.50 | โ |
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: 2026-08-20NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20200416003279
MI
1153751078
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, CMS release of October 2, 2026
Spectrum Health Primary Care Partners
145 Michigan St Ne, Grand Rapids, MI 495032563
Phone: 6163919945
Spectrum Health Primary Care Partners
4444 Kalamazoo Ave Se, Kentwood, MI 495084600
Phone: 6163915600
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 - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Internal Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Nurse Practitioner
Nurse Practitioner - Gerontology
Adult-Gerontology Nurse Practitioner
Internal Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as RIVER SMITH, PA
Registered at 145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 495032563 (Tel: 6163919945)
Recorded as RIVER GATES, PA
Registered at 15100 WHITTAKER WAY, GRAND HAVEN, MI 494178696 (Tel: 6169356320)
Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560
NPI status registered as active in NPPES database
Registered at 1091 S BEACON BLVD, GRAND HAVEN, MI 494172607 (Tel: 6166040096)
Registered at 14835 PIPER LN APT 301, GRAND HAVEN, MI 494179068 (Tel: 6169147834)
Recorded as RIVER DAVID, PA
Physician Assistant (license number reported to NPPES: MI 5601009846)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Grand Rapids
- Brian Lee, PA-C
- Meghan Summey, PA-C
- Lorelle Tallent, PA
- Rachel Haywood, PA
- Katy Huff, PA
- Castyn Williams, PA
Mailing Address
100 Michigan St Ne # Mc845
Grand Rapids, MI 495032560