Dr. Thomas Gillespie Smith , MD
Urology โข Houston, TX
1515 Holcombe Blvd
Houston, TX 770304000
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 August 3, 2006; this date does not establish years in practice.
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Published CMS data list 238 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:
- 99204 โ New patient outpatient office visit: 60 service units.
- 99214 โ Established patient outpatient office visit: 40 service units.
- 51728 โ Complex measurement of pressure of urine flow in bladder with voiding pressure studies: 26 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 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 138 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:
- Tamsulosin Hcl โ 40 prescription fills, including refills.
- Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) โ 26 prescription fills, including refills.
- Myrbetriq (Mirabegron) โ 20 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 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: 895. Middle half: 307 to 3,260.
Fewer Medicare Part B services than 85% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
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 225 in 2020 to 238 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1515 Holcombe Blvd
Houston, TX 770304000
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: Physicians Referral Service. 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
University Of Texas Medical Branch At Galveston
1997
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
170 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 $19,200 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 $14,734 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
244 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
$18,644 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: $1,008.32 across 10 records.
By nature of payment
- Food and Beverage: $1,008.32 across 10 records.
Reporting-company totals (3 largest of 4)
- Boston Scientific Corporation: $661.08 across 6 records.
- Innovation Technologies Inc: $301.19 across 2 records.
- Cook Medical LLC: $25.00 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
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 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 Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: 895. Middle half: 307 to 3,260.
Fewer Medicare Part B services than 85% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: $90,522. Middle half: $36,972 to $190,478.
A lower Medicare-allowed amount than 90% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $130,907. Middle half: $56,287 to $242,595.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: $63,742. Middle half: $25,609 to $144,495.
A lower Medicare payment amount than 90% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $98,400. Middle half: $41,252 to $185,944.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Urology in Houston, TX (2024, 123 clinicians with data). Median for this group: 840. Middle half: 168 to 2,301.
Fewer Part D prescriptions than 80% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: 1,254. Middle half: 393 to 2,342.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Urology in Houston, TX (2024, 123 clinicians with data). Median for this group: $122,097. Middle half: $5,939 to $231,314.
A lower Part D drug cost than 75% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: $146,128. Middle half: $29,835 to $354,962.
181 active clinicians are listed under Urology with a practice address in Houston, TX (961 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
42.5% of these 181 clinicians have the CMS telehealth indicator.
70.2% of these 181 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 varied from year to year: 225 in 2020 and 238 in 2024.
- 2020: 225
- 2021: 254
- 2022: 331
- 2023: 171
- 2024: 238
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Medicare-allowed amount
Medicare-allowed amount decreased 55% from $42,996 in 2020 to $19,200 in 2024.
- 2020: $42,996
- 2021: $59,768
- 2022: $44,453
- 2023: $32,942
- 2024: $19,200
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Paid by Medicare
Paid by Medicare decreased 56% from $33,334 in 2020 to $14,734 in 2024.
- 2020: $33,334
- 2021: $46,904
- 2022: $34,286
- 2023: $25,870
- 2024: $14,734
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 19% from 116 in 2020 to 138 in 2024.
- 2020: 116
- 2021: 190
- 2022: 83
- 2023: 82
- 2024: 138
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30-day fills
30-day fills increased 42% from 173 in 2020 to 244 in 2024.
- 2020: 173
- 2021: 334
- 2022: 91
- 2023: 103
- 2024: 244
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Part D drug cost
Part D drug cost increased 56% from $11,925 in 2020 to $18,644 in 2024.
- 2020: $11,925
- 2021: $32,504
- 2022: $28,329
- 2023: $11,584
- 2024: $18,644
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $180.38 in 2020 to $1,008.32 in 2025.
- 2020: $180.38
- 2021: $199.99
- 2022: $872.38
- 2024: $293.38
- 2025: $1,008.32
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 $1,008.32.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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AMS 800 Artificial Urinary Sphincter | General | $171.43 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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AMS 800 Artificial Urinary Sphincter | General | $168.45 |
| Innovation Technologies Inc |
Food and Beverage
In-kind items and services
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IRRISEPT | General | $161.51 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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AMS 800 Artificial Urinary Sphincter | General | $147.92 |
| Innovation Technologies Inc |
Food and Beverage
In-kind items and services
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IRRISEPT | General | $139.68 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Erectile Dysfunction | General | $139.12 |
| Cook Medical LLC |
Food and Beverage
Cash or cash equivalent
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LITHO 150 | General | $25.00 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Male SUI | General | $22.33 |
| Mirum Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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Livmarli | General | $21.05 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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AMS 800 Artificial Urinary Sphincter | General | $11.83 |
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 |
|---|---|---|---|---|
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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60 | 60 | $469.95 | $134.17 |
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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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40 | 40 | $275.58 | $97.32 |
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51728
Complex measurement of pressure of urine flow in bladder with voiding pressure studies
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26 | 25 | $1097.92 | $101.15 |
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51784
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
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26 | 25 | $477.23 | $18.44 |
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51741
Electronic assessment of bladder emptying
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25 | 24 | $171.52 | $4.25 |
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51797
Insertion of device into abdomen with pressure and urine flow rate study
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25 | 24 | $778.40 | $39.65 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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25 | 25 | $1518.20 | $52.51 |
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52284
Drug delivery using a drug-coated balloon for male treatment of urethral stricture using an endoscope
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11 | 11 | $1674.09 | $157.96 |
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 | 40 | 2,688 | $496.61 | 20 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 26 | 110 | $40.72 | 23 |
| Myrbetriq | Mirabegron | 20 | 1,200 | $17,653.64 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 98 | $80.78 | 12 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 14 | 815 | $225.83 | โ |
| Finasteride | Finasteride | 12 | 1,036 | $68.10 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 104 | $78.01 | 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
NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20090717000436
TX
2264456979
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
Physicians Referral Service
1515 Holcombe Blvd, Houston, TX 770304000
Phone: 7137922121
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Internal Medicine - Hematology
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Master of Science in Nursing, Advanced Practice Registered Nurse, ACNPCAG
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304000 (Tel: 7137926161)
Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)
NPI status registered as active in NPPES database
Registered at 6620 MAIN ST, STE 1325, HOUSTON, TX 770302348 (Tel: 7137984001)
Registered at 6620 MAIN ST, STE 1325, HOUSTON, TX 770302348 (Tel: 7137984001)
Recorded as THOMAS SMITH, M.D.
Urology (license number reported to NPPES: TX L5565)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Houston
- Dr. Paolo Champion, MD
- Akhil Muthigi
- Dr. Paul Smith, MD
- Dr. David Mobley, MD
- Dr. Brian Chapin, MD
- Dr. Don Berardinucci, MD
Mailing Address
Po Box 4439
Houston, TX 772104439
Phone: 7137922991