Melissa Ann Smith , AGACNP
Nurse Practitioner - Acute Care • Webster, TX
905 W Medical Center Blvd Ste 107
Webster, TX 775984009
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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Melissa Smith is listed in NPPES under Nurse Practitioner - Acute Care.
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NPI assigned on February 15, 2017; this date does not establish years in practice.
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Published CMS data list 24 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:
- 99214 — Established patient outpatient office visit: 24 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 the full table · Guide: How to read Medicare Part B data
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Published CMS data list 329 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 — 58 prescription fills, including refills.
- Metoprolol Succinate — 46 prescription fills, including refills.
- Clopidogrel (Clopidogrel Bisulfate) — 29 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 15 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner - Acute Care in Webster, TX (2024, 19 clinicians with data). Median for this group: 202. Middle half: 61 to 593.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 1,248 clinicians with data). Median for this group: 126. Middle half: 48 to 350.
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 275 in 2018 to 24 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2024.
Practice Location & Contact Primary Location
905 W Medical Center Blvd Ste 107
Webster, TX 775984009
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 5 distinct additional practice-address records in Pasadena, TX; Webster, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Cls Health Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2016
What Public CMS Data Show
Nurse Practitioner - Acute Care: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 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 $2,575 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 $2,064 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
902 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
$37,346 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: $794.42 across 31 records.
By nature of payment
- Food and Beverage: $794.42 across 31 records.
Reporting-company totals (3 largest of 16)
- ABIOMED: $213.55 across 3 records.
- Merck Sharp & Dohme LLC: $106.56 across 4 records.
- Amgen Inc.: $74.55 across 5 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).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 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, CMS release of October 2, 2026.
NPI first issued
2017
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Melissa 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 Melissa 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 Webster and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner - Acute Care in Webster, TX (2024, 19 clinicians with data). Median for this group: 202. Middle half: 61 to 593.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 1,248 clinicians with data). Median for this group: 126. Middle half: 48 to 350.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner - Acute Care in Webster, TX (2024, 19 clinicians with data). Median for this group: $17,429. Middle half: $7,600 to $55,646.
A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 1,248 clinicians with data). Median for this group: $12,321. Middle half: $5,110 to $28,839.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Nurse Practitioner - Acute Care in Webster, TX (2024, 19 clinicians with data). Median for this group: $13,685. Middle half: $5,894 to $42,849.
A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 1,248 clinicians with data). Median for this group: $9,534. Middle half: $3,976 to $22,478.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 971 clinicians with data). Median for this group: 141. Middle half: 44 to 516.
Too few clinicians listed under Nurse Practitioner - Acute Care in Webster have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 971 clinicians with data). Median for this group: $8,163. Middle half: $468 to $57,477.
Too few clinicians listed under Nurse Practitioner - Acute Care in Webster have Medicare Part D data for 2024 to compare.
39 active clinicians are listed under Nurse Practitioner - Acute Care with a practice address in Webster, TX (3,311 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Webster
0% of these 39 clinicians have the CMS telehealth indicator.
53.8% 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 decreased 91% from 275 in 2018 to 24 in 2024.
- 2018: 275
- 2019: 221
- 2022: 16
- 2023: 16
- 2024: 24
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Medicare-allowed amount
Medicare-allowed amount decreased 86% from $19,002 in 2018 to $2,575 in 2024.
- 2018: $19,002
- 2019: $14,893
- 2022: $1,788
- 2023: $1,246
- 2024: $2,575
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Paid by Medicare
Paid by Medicare decreased 86% from $15,140 in 2018 to $2,064 in 2024.
- 2018: $15,140
- 2019: $11,866
- 2022: $1,336
- 2023: $993
- 2024: $2,064
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 814% from 36 in 2019 to 329 in 2024.
- 2019: 36
- 2020: 65
- 2021: 12
- 2022: 11
- 2024: 329
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30-day fills
30-day fills increased 1152% from 72 in 2019 to 902 in 2024.
- 2019: 72
- 2020: 142
- 2021: 30
- 2022: 33
- 2024: 902
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Part D drug cost
Part D drug cost increased 552% from $5,731 in 2019 to $37,346 in 2024.
- 2019: $5,731
- 2020: $10,773
- 2021: $261
- 2022: $175
- 2024: $37,346
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 25% from $1,063.85 in 2021 to $794.42 in 2025.
- 2021: $1,063.85
- 2022: $2,093.24
- 2023: $1,746.09
- 2024: $2,732.61
- 2025: $794.42
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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): 31 records totaling $794.42.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABIOMED |
Food and Beverage
In-kind items and services
|
— | General | $145.92 |
| ABIOMED |
Food and Beverage
In-kind items and services
|
— | General | $41.75 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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CAPVAXIVE | General | $27.39 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
VERQUVO | General | $27.10 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
VERQUVO | General | $26.78 |
| ABIOMED |
Food and Beverage
In-kind items and services
|
— | General | $25.88 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
VERQUVO | General | $25.29 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $24.75 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
LOKELMA | General | $24.34 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
EMBLEM MRI S-ICD | General | $24.15 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
OPSYNVI | General | $24.00 |
| Kestra Medical Technology Services, Inc. |
Food and Beverage
Cash or cash equivalent
|
Assure WCD | General | $23.54 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
EMBLEM MRI S-ICD | General | $23.22 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $22.78 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $22.54 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
EOHILIA | General | $22.09 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $21.64 |
| SCPHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
FUROSCIX | General | $21.12 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $20.30 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
OPSUMIT | General | $19.82 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $19.55 |
| Esperion Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
NEXLETOL | General | $19.16 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
MITRACLIP | General | $18.82 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $17.03 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
REPATHA | General | $16.98 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, 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 2017–2023 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, 2018–2024; 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
|
24 | 23 | $387.00 | $107.30 |
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 | 58 | 5,040 | $723.94 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 46 | 3,735 | $919.58 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 29 | 2,610 | $282.15 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 27 | 2,190 | $278.73 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 22 | 1,860 | $200.46 | — |
| Eliquis | Apixaban | 18 | 1,380 | $27,251.14 | — |
| Furosemide | Furosemide | 17 | 1,268 | $90.05 | — |
| Amlodipine Besylate | Amlodipine Besylate | 16 | 1,380 | $121.74 | — |
| Losartan Potassium | Losartan Potassium | 15 | 1,290 | $222.13 | — |
| Valsartan | Valsartan | 15 | 1,350 | $209.70 | — |
| Carvedilol | Carvedilol | 14 | 1,260 | $211.14 | — |
| Spironolactone | Spironolactone | 14 | 1,124 | $210.74 | — |
| Brilinta | Ticagrelor | 14 | 420 | $6,317.96 | — |
| Lisinopril | Lisinopril | 13 | 1,170 | $64.27 | — |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 11 | 930 | $242.03 | — |
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: 2026-11-06NUCC Taxonomy Code: 363LA2100X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180102000307
TX
3870878572
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, CMS release of October 2, 2026
Cls Health Pllc
5010 Crenshaw Rd, Pasadena, TX 775054614
Phone: 8323990400
Cls Health Pllc
530 Orchard St, Webster, TX 775984110
Phone: 2813384004
Secondary Practice Locations
530 Orchard St
Webster, TX 775984110
Phone: 2813384004
600 N Kobayashi Ste 309
Webster, TX 775984841
Phone: 2817248332
500 N Kobayashi Ste C
Webster, TX 775984722
Phone: 2818163092
5010 Crenshaw Rd Ste 110
Pasadena, TX 775054614
Phone: 8323990400
600 N Kobayashi Ste 110
Webster, TX 775984841
Phone: 2813381857
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
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 905 W MEDICAL CENTER BLVD STE 107, WEBSTER, TX 775984009 (Tel: 3467131160)
Additional practice office at 530 Orchard St, Webster, TX 775984110
Additional practice office at 600 N Kobayashi Ste 309, Webster, TX 775984841
Additional practice office at 5010 Crenshaw Rd Ste 110, Pasadena, TX 775054614
Additional practice office at 500 N Kobayashi Ste C, Webster, TX 775984722
Additional practice office at 600 N Kobayashi Ste 110, Webster, TX 775984841
Registered at PO BOX 58538, WEBSTER, TX 775988538 (Tel: 2813384004)
Registered at 530 ORCHARD ST, WEBSTER, TX 775984110 (Tel: 2813384004)
Registered at 1616 FALCON RIDGE BLVD, FRIENDSWOOD, TX 77546 (Tel: 9033002083)
Registered at 530 ORCHARD ST, WEBSTER, TX 775984110 (Tel: 2813384004)
NPI status registered as active in NPPES database
Registered at 1616 FALCON RIDGE BLVD, FRIENDSWOOD, TX 775465432 (Tel: 9033002083)
Registered at 17051 N TEXAS AVE, WEBSTER, TX 775984023 (Tel: 2813324100)
Recorded as MELISSA SMITH, AGACNP
Nurse Practitioner (license number reported to NPPES: TX 786676)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Acute Care Specialists in Webster
- Victoria Orta
- Lilian Duogo
- Giovanna Perez
- Ogochukwu Orisakwe, AGACNP-BC
- Jisha Thomas, NP
- Madison Varisco, NURSE PRACTITIONER
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Mailing Address
Po Box 58538
Webster, TX 775988538
Phone: 2813384004