Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Maryellen Warro Smith , PA

Physician Assistant โ€ข Tyler, TX

Active NPI 1275648834 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5414 S Broadway Ave
Tyler, TX 757031335

Call 9035811601 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

5414 S Broadway Ave

Tyler, TX 757031335

Telephone 9035811601
Organization at the Same NPPES Address or Phone
G P Goodfried Md Pa Facility NPI 1639313851

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 2 distinct group names: Christus Trinity Clinic; Mother Frances Hospital Regional Health Care Center. 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

Graduation Year

2000

Medicare patients

243 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 $33,224 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 $24,510 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

2,962 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

$68,435 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.

Open Payments general payments, program year 2024

All general payments: $53.77 across 3 records.

By nature of payment

  • Food and Beverage: $53.77 across 3 records.

Reporting-company totals

  • Novo Nordisk Inc: $34.47 across 2 records.
  • Pfizer Inc.: $19.30 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 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.

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.

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, 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Maryellen 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 Maryellen 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 Tyler and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: 376. Middle half: 164 to 966.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $26,434. Middle half: $10,594 to $57,835.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $19,779. Middle half: $7,945 to $41,751.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: 423. Middle half: 89 to 1,556.

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 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: $6,587. Middle half: $944 to $211,662.

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.

98 active clinicians are listed under Physician Assistant with a practice address in Tyler, TX (11,008 in Texas).

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

Telehealth indicator in Tyler

6.1% of these 98 clinicians have the CMS telehealth indicator.

65.3% of these 98 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 (2024), 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

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $53.77.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $19.30
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $17.80
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $16.67

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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, 2017โ€“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
219 152 $325.63 $81.66
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
147 115 $22.26 $13.60
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
96 88 $260.65 $57.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
52 52 $295.00 $109.12
99442 Telephone medical discussion with physician, 11-20 minutes
14 11 $204.00 $54.59
99495 Transitional care management services for problem of at least moderate complexity
12 11 $463.00 $116.08

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
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 63 4,950 $610.82 19
Amlodipine Besylate Amlodipine Besylate 60 4,537 $265.57 22
Levothyroxine Sodium Levothyroxine Sodium 59 4,770 $638.21 19
Azelastine Hcl Azelastine Hcl 59 1,820 $1,660.31 44
Losartan Potassium Losartan Potassium 57 4,087 $479.05 17
Rosuvastatin Calcium Rosuvastatin Calcium 48 3,480 $832.20 16
Gabapentin Gabapentin 46 2,552 $675.38 23
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 46 335 $165.30 41
Doxycycline Hyclate Doxycycline Hyclate 45 315 $269.22 45
Lisinopril Lisinopril 44 2,640 $250.21 12
Sertraline Hcl Sertraline Hcl 44 2,758 $285.13 โ€”
Prednisone Prednisone 43 363 $74.97 37
Hydrochlorothiazide Hydrochlorothiazide 42 3,037 $126.08 14
Azithromycin Azithromycin 35 175 $145.40 33
Metformin Hcl Er Metformin Hcl 33 2,220 $197.30 11
Donepezil Hcl Donepezil Hcl 32 1,740 $362.15 โ€”
Trazodone Hcl Trazodone Hcl 32 2,200 $236.72 12
Methylprednisolone Methylprednisolone 31 186 $213.59 31
Tramadol Hcl Tramadol Hcl 28 481 $96.13 14
Duloxetine Hcl Duloxetine Hcl 28 1,560 $296.31 โ€”
Omeprazole Omeprazole 25 1,510 $101.35 โ€”
Furosemide Furosemide 24 1,260 $107.06 โ€”
Alprazolam Alprazolam 23 750 $317.34 โ€”
Carvedilol Carvedilol 23 1,410 $272.58 โ€”
Montelukast Sodium Montelukast Sodium 23 1,840 $333.26 โ€”

(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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA04930

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: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
337319301 (TX)
Medicaid ID
337319303 (TX)
Medicaid ID
337319302 (TX)
Medicaid ID
337319304 (TX)
Other Identifier Bcbs
8547ND (TX)
Other Identifier Tricare
75-0818167-048 (TX)
Other Identifier Tricare
75-0818167-044 (TX)
Other Identifier Tricare
75-2616977-001 (TX)
Other Identifier Tricare
75-0818167-022 (TX)
Other Identifier Bcbs
8545ND (TX)

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

I20070125000472

Enrollment State Jurisdiction

TX

PECOS Control ID

4587665054

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

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Christus Trinity Clinic

3593 E Grande Blvd, Tyler, TX 757071400

Phone: 9038392585

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Phone: 9035314888

Christus Trinity Clinic

2101 W Loop, Longview, TX 756042506

Phone: 9033155600

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

3802 Manhatton Dr, Tyler, TX 757019451

Phone: 9035098888

Christus Trinity Clinic

5321 S Fm, Holly Lake Ranch, TX 757654839

Phone: 9037692990

Mother Frances Hospital Regional Health Care Center

5414 S Broadway Ave, Tyler, TX 757031335

Phone: 9035315010

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Clinicians Sharing This Practice Address or Phone

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

19 listed
Jessica Atkinson , PA

Physician Assistant

NPI 1467829440

Physician Assistant

Dr. Deborah Boyd , DO

Family Medicine

NPI 1205875929

Doctor of Osteopathic Medicine (D.O.)

Alma Cadena , PA

Physician Assistant

NPI 1881997138

Physician Assistant

Jennifer Crayton , NP

Nurse Practitioner

NPI 1659768737

Nurse Practitioner

Wendy Freden , PA

Physician Assistant

NPI 1750549358

Physician Assistant

Jennifer Harper , FNP-C

Nurse Practitioner - Family

NPI 1598161663

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
๐Ÿ“
Updated Business Mailing Address February 28, 2018

Registered at 1905 S DONNYBROOK AVE, TYLER, TX 757014236 (Tel: 9035973140)

โœ…
NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 01, 2016

Registered at 5414 S BROADWAY AVE, TYLER, TX 757031335 (Tel: 9035811601)

๐Ÿ“
Business Mailing Address (Initial Record) April 01, 2016

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 01, 2016

Recorded as MARYELLEN SMITH, P.A.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Physician Assistant (license number reported to NPPES: TX PA04930)

๐ŸŸข
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275648834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: February 28, 2018
Sole Proprietor: No

Other Physician Assistants in Tyler

All Physician Assistants in Tyler

Mailing Address

1905 S Donnybrook Ave

Tyler, TX 757014236

Phone: 9035973140

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.