Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Maggie Casteel Smith , PA

Physician Assistant โ€ข Sparks, NV

Active NPI 1194419945 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1441 Pullman Dr
Sparks, NV 894347921

Call 7754321343 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1441 Pullman Dr

Sparks, NV 894347921

Telephone 7754321343
Organization at the Same NPPES Address or Phone
Sierra Pulmonary And Sleep Consultants Facility NPI 1336210640

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Elizabeth A. Hutson M.D. Ltd. 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

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2023

Medicare patients

133 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $23,684 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.

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 $17,611 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

613 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

$5,315 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.60 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional 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

2023

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Maggie Casteel 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Maggie Casteel 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Sparks and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Sparks, NV (2024, 14 clinicians with data). Median for this group: 477. Middle half: 258 to 586.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 98 to 915.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Sparks, NV (2024, 14 clinicians with data). Median for this group: $27,385. Middle half: $14,577 to $49,500.

Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,008. Middle half: $8,158 to $52,951.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Sparks, NV (2024, 14 clinicians with data). Median for this group: $19,736. Middle half: $9,924 to $37,360.

Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,269. Middle half: $5,816 to $38,689.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Sparks, NV (2024, 16 clinicians with data). Median for this group: 404. Middle half: 94 to 1,572.

Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 614 clinicians with data). Median for this group: 321. Middle half: 93 to 1,300.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Sparks, NV (2024, 16 clinicians with data). Median for this group: $24,829. Middle half: $901 to $116,217.

Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 614 clinicians with data). Median for this group: $8,028. Middle half: $861 to $109,912.

22 active clinicians are listed under Physician Assistant with a practice address in Sparks, NV (1,095 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sparks

0% of these 22 clinicians have the CMS telehealth indicator.

68.2% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $20.60.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $20.60

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 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, 2024; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
126 88 $251.00 $102.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
105 79 $39.00 $13.44
36415 Insertion of needle into vein for collection of blood sample
46 35 $15.00 $8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
38 29 $28.00 $7.45
80053 Blood test, comprehensive group of blood chemicals
33 27 $38.00 $10.35
80061 Blood test, lipids (cholesterol and triglycerides)
30 27 $48.00 $13.12
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
24 24 $169.00 $72.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $391.00 $137.26
83036 Hemoglobin a1c level
20 17 $35.00 $9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
19 19 $200.00 $106.18
G0444 Annual depression screening, 5 to 15 minutes
17 17 $30.00 $15.48
84443 Blood test, thyroid stimulating hormone (tsh)
16 16 $60.00 $16.46
82043 Urine microalbumin (protein) level
14 13 $21.00 $5.66
82570 Creatinine level to test for kidney function or muscle injury
14 13 $19.00 $5.08
84439 Thyroxine (thyroid chemical), free
13 13 $52.00 $8.84

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.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 33 2,510 $145.88 15
Amlodipine Besylate Amlodipine Besylate 26 1,720 $211.06 โ€”
Famotidine Famotidine 24 1,109 $139.38 โ€”
Losartan Potassium Losartan Potassium 22 1,548 $212.89 โ€”
Buspirone Hcl Buspirone Hcl 19 585 $283.45 โ€”
Hydrochlorothiazide Hydrochlorothiazide 18 1,140 $15.67 โ€”
Omeprazole Omeprazole 17 1,530 $142.49 โ€”
Carvedilol Carvedilol 15 742 $79.40 โ€”
Fluticasone Propionate Fluticasone Propionate 15 630 $129.22 โ€”
Glimepiride Glimepiride 15 894 $62.80 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 15 1,350 $329.47 โ€”
Furosemide Furosemide 14 456 $57.48 โ€”
Olmesartan Medoxomil Olmesartan Medoxomil 14 516 $127.28 โ€”
Hydralazine Hcl Hydralazine Hcl 13 426 $62.74 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 13 227 $333.77 โ€”
Levothyroxine Sodium Levothyroxine Sodium 12 1,080 $101.02 โ€”
Fluvoxamine Maleate Fluvoxamine Maleate 12 336 $242.28 โ€”
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 12 103 $76.38 12
Mesalamine Er Mesalamine 12 336 $2,463.48 โ€”
Escitalopram Oxalate Escitalopram Oxalate 11 510 $99.05 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: 2026-03-09
Physician Assistant Primary Specialty

NUCC 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231123000039

Enrollment State Jurisdiction

VA

PECOS Control ID

6103274592

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Elizabeth A. Hutson M.d. Ltd

1441 Pullman Dr, Sparks, NV 894347921

Phone: 7754321343

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Lara Arndal , MD

Obstetrics & Gynecology

NPI 1922207638

Doctor of Medicine (M.D.)

Dr. Elizabeth Hutson , MD

Obstetrics & Gynecology - Gynecology

NPI 1659462208

Doctor of Medicine (M.D.)

Roxana Mattoni , PA-C

Physician Assistant

NPI 1639740962

Physician Assistant (Certified)

NPI 1629169206

Doctor of Medicine (M.D.)

Mary Patterson , CERTIFIED NURSE-MIDW

Nurse Practitioner - Obstetrics & Gynecology

NPI 1275821407

CERTIFIEDNURSEMIDW

Karen Wood , APN

Nurse Practitioner - Obstetrics & Gynecology

NPI 1265561740

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location March 09, 2026

Registered at 1441 PULLMAN DR, SPARKS, NV 894347921 (Tel: 7754321343)

๐Ÿ“
Updated Business Mailing Address March 09, 2026

Registered at 1441 PULLMAN DR, SPARKS, NV 894347921 (Tel: 7754321343)

โœ…
NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 05, 2023

Registered at 205 CHARLES T WETHINGTON BUILDING, LEXINGTON, KY 405360001 (Tel: 8592575001)

๐Ÿ“
Business Mailing Address (Initial Record) June 05, 2023

Registered at 205 CHARLES T WETHINGTON BUILDING, LEXINGTON, KY 405360001

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 05, 2023

Recorded as MAGGIE CASTEEL SMITH, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration June 05, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1194419945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: March 09, 2026
Sole Proprietor: No

Other Physician Assistants in Sparks

All Physician Assistants in Sparks

Mailing Address

1441 Pullman Dr

Sparks, NV 894347921

Phone: 7754321343

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.