Shane O Smith , PA-C
Physician Assistant • Spring, TX
1104 Rayford Rd Ste 500
Spring, TX 773862621
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, 2010; this date does not establish years in practice.
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Published CMS data list 243 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- J1100 — Injection, dexamethasone sodium phosphate, 1 mg: 120 service units.
- 99213 — Established patient outpatient office visit: 34 service units.
- 99214 — Established patient outpatient office visit: 25 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 101 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Azithromycin — 29 prescription fills, including refills.
- Methylprednisolone — 23 prescription fills, including refills.
- Cefdinir — 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 163 in 2022 to 243 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022–2023.
Practice Location & Contact Primary Location
1104 Rayford Rd Ste 500
Spring, TX 773862621
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.
Medicare-allowed amount
About $8,749 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $5,901 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
101 standardized 30-day fills in 2023
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
$1,185 in 2023
The total cost of these prescriptions in 2023, 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, 2023.
Open Payments general payments, program year 2024
All general payments: $31.44 across 2 records.
By nature of payment
- Food and Beverage: $31.44 across 2 records.
Reporting-company totals
- Pfizer Inc.: $31.44 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 2024 (published June 30, 2026).
NPI first issued
2010
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)
Shane 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 Shane 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 Spring and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Shane Smith are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Shane Smith are from 2023.
39 active clinicians are listed under Physician Assistant with a practice address in Spring, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spring
17.9% of these 39 clinicians have the CMS telehealth indicator.
61.5% of these 39 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 increased 49% from 163 in 2022 to 243 in 2023.
- 2022: 163
- 2023: 243
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Medicare-allowed amount
Medicare-allowed amount decreased 54% from $19,036 in 2022 to $8,749 in 2023.
- 2022: $19,036
- 2023: $8,749
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Paid by Medicare
Paid by Medicare decreased 66% from $17,588 in 2022 to $5,901 in 2023.
- 2022: $17,588
- 2023: $5,901
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 33% from 76 in 2015 to 101 in 2023.
- 2015: 76
- 2021: 144
- 2022: 596
- 2023: 101
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30-day fills
30-day fills increased 31% from 77 in 2015 to 101 in 2023.
- 2015: 77
- 2021: 166
- 2022: 655
- 2023: 101
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Part D drug cost
Part D drug cost decreased 97% from $34,546 in 2015 to $1,185 in 2023.
- 2015: $34,546
- 2021: $4,025
- 2022: $8,606
- 2023: $1,185
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $540.87 in 2021 to $31.44 in 2024.
- 2021: $540.87
- 2022: $388.16
- 2024: $31.44
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), 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 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $31.44.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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— | General | $16.43 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PAXLOVID | General | $15.01 |
Source: CMS Open Payments, program year 2024, 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 2021–2022 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, 2022–2023; 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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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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120 | 12 | $3.75 | $0.12 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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34 | 32 | $275.85 | $73.92 |
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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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25 | 23 | $322.88 | $102.01 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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14 | 14 | $86.29 | $34.62 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $306.07 | $93.36 |
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96372
Injection of drug or substance under skin or into muscle
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13 | 13 | $89.15 | $11.62 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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12 | 12 | $81.67 | $16.20 |
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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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11 | 11 | $423.18 | $139.44 |
Source: CMS Part B by Provider and Service, 2023; 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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azithromycin | Azithromycin | 29 | 144 | $170.18 | 29 |
| Methylprednisolone | Methylprednisolone | 23 | 138 | $189.43 | 22 |
| Cefdinir | Cefdinir | 18 | 132 | $238.91 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 17 | 406 | $517.99 | 17 |
| Amoxicillin | Amoxicillin | 14 | 101 | $68.75 | 13 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-05-11NUCC 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.
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20141118000397
TX
8022230580
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.
Nurse Practitioner
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1104 RAYFORD RD STE 500, SPRING, TX 773862621 (Tel: 2818253265)
Registered at 16840 BUCCANEER LN STE 202, HOUSTON, TX 770582570 (Tel: 2819912200)
Registered at 11451 KATY FWY STE 340, HOUSTON, TX 770792009 (Tel: 8328627246)
Registered at 11451 KATY FWY STE 340, HOUSTON, TX 770792009 (Tel: 8328627246)
NPI status registered as active in NPPES database
Registered at 9303 PINECROFT DR, SUITE 320, THE WOODLANDS, TX 773803181 (Tel: 7137141399)
Registered at 9303 PINECROFT DR, SUITE 320, THE WOODLANDS, TX 773803181 (Tel: 7137141399)
Recorded as SHANE SMITH, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Spring
- Caroline Besselman, MPAS, PA-C
- Tolulope Sodimu, PA-C
- Alex Espana, PA-C
- Kellie King, PA-C
- Patrice Pompey, PA
- Lauren Thomson, PA
Mailing Address
16840 Buccaneer Ln Ste 202
Houston, TX 770582570
Phone: 2819912200