Nichole M Smith , PA-C
Physician Assistant • Round Rock, TX
7200 Wyoming Spgs, Suite 600
Round Rock, TX 786814303
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 13, 2007; this date does not establish years in practice.
-
Published CMS data list 1,584 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.
-
Published Part D records, 2024:
- Atorvastatin Calcium — 129 prescription fills, including refills.
- Levothyroxine Sodium — 101 prescription fills, including refills.
- Amlodipine Besylate — 72 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 49 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Round Rock, TX (2024, 79 clinicians with data). Median for this group: 197. Middle half: 57 to 752.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part D prescriptions went from 802 in 2020 to 1,584 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
7200 Wyoming Spgs
Suite 600
Round Rock, TX 786814303
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
3,320 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
$72,785 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 2025
All general payments: $982.77 across 51 records.
By nature of payment
- Food and Beverage: $982.77 across 51 records.
Reporting-company totals (3 largest of 17)
- AstraZeneca Pharmaceuticals LP: $264.69 across 10 records.
- Novo Nordisk Inc: $212.64 across 10 records.
- ABBVIE INC.: $184.49 across 15 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 2025 (published June 30, 2026).
NPI first issued
2007
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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)
Nichole 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 Nichole 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 Round Rock and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Round Rock, TX (2024, 79 clinicians with data). Median for this group: 197. Middle half: 57 to 752.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Round Rock, TX (2024, 79 clinicians with data). Median for this group: $4,949. Middle half: $488 to $70,634.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
154 active clinicians are listed under Physician Assistant with a practice address in Round Rock, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Round Rock
28.6% of these 154 clinicians have the CMS telehealth indicator.
68.2% of these 154 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 D prescriptions
Medicare Part D prescriptions increased 98% from 802 in 2020 to 1,584 in 2024.
- 2020: 802
- 2021: 1,071
- 2022: 1,232
- 2023: 1,440
- 2024: 1,584
-
30-day fills
30-day fills increased 115% from 1,547 in 2020 to 3,320 in 2024.
- 2020: 1,547
- 2021: 2,268
- 2022: 2,478
- 2023: 2,925
- 2024: 3,320
-
Part D drug cost
Part D drug cost increased 512% from $11,890 in 2020 to $72,785 in 2024.
- 2020: $11,890
- 2021: $16,637
- 2022: $36,954
- 2023: $61,369
- 2024: $72,785
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $758.88 in 2021 to $982.77 in 2025.
- 2021: $758.88
- 2022: $440.25
- 2023: $425.74
- 2024: $262.19
- 2025: $982.77
Sources: 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 · 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 – December 31, 2025): 51 records totaling $982.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $115.61 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $47.12 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $30.26 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $27.87 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $27.80 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $27.77 |
| Corium, LLC |
Food and Beverage
In-kind items and services
|
Azstarys | General | $26.61 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
KISUNLA | General | $26.53 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $24.32 |
| Agios Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
PYRUKYND | General | $23.82 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $23.08 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $22.91 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Sunosi | General | $20.91 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $20.68 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $20.44 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $20.35 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $19.91 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $19.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $19.20 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $19.09 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $17.70 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $17.42 |
| Antares Pharma, Inc. |
Food and Beverage
In-kind items and services
|
XYOSTED | General | $17.25 |
| TOLMAR, INC. |
Food and Beverage
In-kind items and services
|
JATENZO | General | $17.23 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $17.13 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
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 | 129 | 9,745 | $669.68 | 42 |
| Levothyroxine Sodium | Levothyroxine Sodium | 101 | 7,862 | $924.66 | 36 |
| Amlodipine Besylate | Amlodipine Besylate | 72 | 5,384 | $379.37 | 26 |
| Simvastatin | Simvastatin | 66 | 5,772 | $445.54 | 22 |
| Sertraline Hcl | Sertraline Hcl | 66 | 3,723 | $688.18 | 19 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 63 | 5,057 | $662.10 | 27 |
| Escitalopram Oxalate | Escitalopram Oxalate | 58 | 2,695 | $537.03 | 16 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 52 | 515 | $459.73 | 46 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 52 | 4,011 | $688.97 | 19 |
| Buspirone Hcl | Buspirone Hcl | 47 | 2,144 | $292.17 | — |
| Metformin Hcl Er | Metformin Hcl | 47 | 3,445 | $349.70 | 18 |
| Lisinopril | Lisinopril | 45 | 3,404 | $219.41 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 40 | 3,200 | $133.94 | 15 |
| Gabapentin | Gabapentin | 39 | 1,908 | $459.68 | 15 |
| Synthroid | Levothyroxine Sodium | 39 | 2,451 | $2,292.99 | 13 |
| Montelukast Sodium | Montelukast Sodium | 36 | 2,580 | $207.13 | 13 |
| Omeprazole | Omeprazole | 35 | 2,820 | $392.32 | 12 |
| Losartan Potassium | Losartan Potassium | 33 | 2,424 | $323.64 | 12 |
| Cefuroxime | Cefuroxime Axetil | 33 | 270 | $354.41 | 30 |
| Methylprednisolone | Methylprednisolone | 28 | 252 | $226.37 | 27 |
| Furosemide | Furosemide | 28 | 1,410 | $26.86 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 26 | 180 | $281.86 | 25 |
| Fluoxetine Hcl | Fluoxetine Hcl | 25 | 1,909 | $131.80 | — |
| Ozempic | Semaglutide | 25 | 900 | $27,954.23 | — |
| Eszopiclone | Eszopiclone | 24 | 720 | $537.09 | — |
(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
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT
I20160107001450
TX
0941502900
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Career & Practice History
NPI enumerated March 13, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Round Rock
- Elda Villarreal, PA-C
- Jacqueline Garcia, PA-C
- Jaime Caro, PA-C
- Teresa Martin, PA-C
- Jessica Grenard, PA-C
- Melinda Moore Gottschalk
More public profiles in Texas
Directory navigation, in NPI number order.
- John Fulkerson, DC Chiropractor · Tulia
- Scott Malowney, MD Emergency Medicine - Emergency Medical Services · Abilene
- Eric Casillas, OD Optometrist · San Antonio
- Dan Eidman, MD Orthopaedic Surgery - Sports Medicine · Houston
- Patrick Reardon, MD Surgery · Houston
- Anthony Del Genovese, NP-C, DC Nurse Practitioner · Weslaco
- Bret Craytor, MD Internal Medicine - Pulmonary Disease · Texarkana
- Theresa Biedenbach, PA Physician Assistant · Austin
- Yvonne Clement-Cormier, MD Anesthesiology · Houston
- Stanley Higgins, MD Radiology - Diagnostic Radiology · Dallas
- Siegfried Schnell, DPM PA Podiatrist · Houston
- Robert Lueken, MD Emergency Medicine - Undersea and Hyperbaric Medicine · Tyler
Mailing Address
7200 Wyoming Spgs, Suite 600
Round Rock, TX 786814303
Phone: 5122441995