Dr. Ferril Chris Smith , MD
Internal Medicine • Austin, TX
4104 Reynosa Dr
Austin, TX 78739
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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Dr. Ferril Smith is listed in NPPES under Internal Medicine.
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NPI assigned on September 5, 2006; this date does not establish years in practice.
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Published CMS data list 242 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 153 service units.
- 99350 — Residence visit for established patient with high level of medical decision making, per day: 39 service units.
- 99214 — Established patient outpatient office visit: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 580 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:
- Atorvastatin Calcium — 78 prescription fills, including refills.
- Lisinopril — 55 prescription fills, including refills.
- Omeprazole — 41 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 26 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Austin, TX (2024, 269 clinicians with data). Median for this group: 578. Middle half: 242 to 1,086.
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 319 in 2020 to 242 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4104 Reynosa Dr
Austin, TX 78739
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Texas Medical School At San Antonio
1981
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
96 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 – by Provider, 2024.
Medicare-allowed amount
About $30,089 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 – by Provider and Service, 2024.
Paid by Medicare
About $20,805 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 – by Provider and Service, 2024.
30-day fills
1,543 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
$26,487 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 2023
All general payments: $241.83 across 2 records.
By nature of payment
- Food and Beverage: $241.83 across 2 records.
Reporting-company totals
- Nalu Medical, Inc.: $241.83 across 2 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 2023 (published June 30, 2026).
Years since graduation
45 years (graduated 1981)
CMS Doctors and Clinicians data list 1981 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, “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)
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 Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Austin, TX (2024, 269 clinicians with data). Median for this group: 578. Middle half: 242 to 1,086.
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Austin, TX (2024, 269 clinicians with data). Median for this group: $60,949. Middle half: $26,085 to $98,273.
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $61,221. Middle half: $27,420 to $115,826.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Internal Medicine in Austin, TX (2024, 269 clinicians with data). Median for this group: $47,232. Middle half: $20,508 to $77,772.
A lower Medicare payment amount than 70% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $47,501. Middle half: $20,446 to $90,051.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Internal Medicine in Austin, TX (2024, 299 clinicians with data). Median for this group: 278. Middle half: 56 to 2,862.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: 828. Middle half: 121 to 4,824.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Austin, TX (2024, 299 clinicians with data). Median for this group: $16,522. Middle half: $774 to $198,601.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: $64,859. Middle half: $4,211 to $436,775.
607 active clinicians are listed under Internal Medicine with a practice address in Austin, TX (9,191 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
16.5% of these 607 clinicians have the CMS telehealth indicator.
46.1% of these 607 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 24% from 319 in 2020 to 242 in 2024.
- 2020: 319
- 2021: 366
- 2022: 308
- 2023: 285
- 2024: 242
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Medicare-allowed amount
Medicare-allowed amount decreased 23% from $38,857 in 2020 to $30,089 in 2024.
- 2020: $38,857
- 2021: $44,780
- 2022: $37,358
- 2023: $34,158
- 2024: $30,089
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Paid by Medicare
Paid by Medicare decreased 21% from $26,187 in 2020 to $20,805 in 2024.
- 2020: $26,187
- 2021: $30,320
- 2022: $26,024
- 2023: $23,256
- 2024: $20,805
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 592 in 2020 and 580 in 2024.
- 2020: 592
- 2021: 569
- 2022: 639
- 2023: 540
- 2024: 580
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30-day fills
30-day fills stayed about the same: 1,669 in 2020 and 1,543 in 2024.
- 2020: 1,669
- 2021: 1,577
- 2022: 1,689
- 2023: 1,439
- 2024: 1,543
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Part D drug cost
Part D drug cost increased 116% from $12,289 in 2020 to $26,487 in 2024.
- 2020: $12,289
- 2021: $9,431
- 2022: $9,662
- 2023: $8,024
- 2024: $26,487
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2023 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), 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 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $241.83.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Nalu Medical, Inc. |
Food and Beverage
In-kind items and services
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Nalu Neurostimulation System | General | $123.29 |
| Nalu Medical, Inc. |
Food and Beverage
In-kind items and services
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Nalu Neurostimulation System | General | $118.54 |
Source: CMS Open Payments, program year 2023, 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 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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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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153 | 73 | $137.17 | $118.00 |
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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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39 | 30 | $199.47 | $171.52 |
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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
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35 | 24 | $140.03 | $122.02 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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15 | 11 | $82.39 | $71.65 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 78 | 6,310 | $599.14 | 20 |
| Lisinopril | Lisinopril | 55 | 4,221 | $200.66 | 12 |
| Omeprazole | Omeprazole | 41 | 3,690 | $503.86 | 14 |
| Levothyroxine Sodium | Levothyroxine Sodium | 31 | 2,790 | $513.01 | — |
| Metoprolol Succinate | Metoprolol Succinate | 31 | 2,070 | $452.36 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 25 | 2,250 | $323.13 | — |
| Gabapentin | Gabapentin | 23 | 1,770 | $422.72 | — |
| Glimepiride | Glimepiride | 22 | 1,968 | $422.24 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 22 | 1,260 | $13.12 | — |
| Montelukast Sodium | Montelukast Sodium | 20 | 1,800 | $419.30 | — |
| Meloxicam | Meloxicam | 18 | 950 | $96.38 | — |
| Potassium Chloride | Potassium Chloride | 17 | 1,530 | $626.29 | — |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 17 | 1,440 | $198.36 | — |
| Alendronate Sodium | Alendronate Sodium | 16 | 1,064 | $121.45 | — |
| Amlodipine Besylate | Amlodipine Besylate | 16 | 1,440 | $45.60 | — |
| Doxazosin Mesylate | Doxazosin Mesylate | 16 | 1,380 | $308.60 | — |
| Allopurinol | Allopurinol | 15 | 1,271 | $175.14 | — |
| Fluticasone Propionate | Fluticasone Propionate | 15 | 990 | $163.45 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 15 | 1,350 | $523.19 | — |
| Donepezil Hcl | Donepezil Hcl | 14 | 1,200 | $148.66 | — |
| Finasteride | Finasteride | 14 | 1,260 | $215.59 | — |
| Azithromycin | Azithromycin | 12 | 60 | $39.82 | — |
| Januvia | Sitagliptin Phosphate | 12 | 1,080 | $18,110.39 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | 1,090 | $187.34 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 12 | 680 | $622.67 | — |
(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: 2020-01-06NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20100129000097
TX
8820130800
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4104 REYNOSA DR, AUSTIN, TX 78739 (Tel: 5127500019)
Registered at 4104 REYNOSA DR, AUSTIN, TX 78739 (Tel: 5127500019)
NPI status registered as active in NPPES database
Registered at 4207 JAMES CASEY #304, AUSTIN, TX 78745 (Tel: 5124408307)
Registered at 4207 JAMES CASEY #304, AUSTIN, TX 78745 (Tel: 5124408307)
Recorded as FERRIL SMITH, MD
Internal Medicine (license number reported to NPPES: TX G0136)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Austin
- Dr. Chun Jin, MD
- Dr. Lydia Wolf, MD
- Dr. Kiran Chaudhry, MD
- Dr. Gayathri Nanja, MD
- Dr. James Hull, MD
- Dr. Marisa Chagoya, MD
Mailing Address
4104 Reynosa Dr
Austin, TX 78739
Phone: 5127500019