Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Karlye Rae Smith , PA-C

Physician Assistant โ€ข Winchester, VA

Active NPI 1316699390 Individual Practitioner Female Practitioner
Practice location in NPPES

1840 Amherst St
Winchester, VA 226012808

Call 5405368000 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

1840 Amherst St

Winchester, VA 226012808

Telephone 5405368000
Organization at the Same NPPES Address or Phone
Winchester Radiologists Pc Facility NPI 1235123977

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $6,834 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.

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, 2023.

Paid by Medicare

About $5,383 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2022

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, 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

Compared with the same specialty in Winchester and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Karlye Smith are from 2023.

217 active clinicians are listed under Physician Assistant with a practice address in Winchester, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winchester

10.6% of these 217 clinicians have the CMS telehealth indicator.

53% of these 217 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“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 โ€“ by Provider and Service data, 2022โ€“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
99285 Emergency department visit with high level of medical decision making
47 47 $477.60 $145.41

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-02-16
Physician Assistant Primary Specialty

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.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Ramez Alyacoub , MD

Internal Medicine

NPI 1346802659

Doctor of Medicine (M.D.)

Dr. Michael Argyres , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1497734917

Doctor of Medicine (M.D.)

Dr. Joshua Baalwa , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1720423270

Doctor of Medicine (M.D.)

Dr. Mary Bailey , MD

Anesthesiology

NPI 1720395767

Doctor of Medicine (M.D.)

Dr. Douglas Benkelman , MD

Emergency Medicine

NPI 1518926567

Doctor of Medicine (M.D.)

Dr. Veronica Bujdos , DO

Family Medicine - Hospice and Palliative Medicine

NPI 1073132353

Doctor of Osteopathic Medicine (D.O.)

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 March 24, 2022

Registered at 1840 AMHERST ST, WINCHESTER, VA 226012808 (Tel: 5405368708)

โœ…
NPI Profile Active January 21, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 21, 2022

Registered at 1840 AMHERST ST, WINCHESTER, VA 226012808 (Tel: 5405368000)

๐Ÿ“
Business Mailing Address (Initial Record) January 21, 2022

Registered at 640 KINGSTON CT APT 9, WINCHESTER, VA 226016466 (Tel: 3016397907)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 21, 2022

Recorded as KARLYE SMITH, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration January 21, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1316699390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: March 24, 2022
Sole Proprietor: No

Other Physician Assistants in Winchester

All Physician Assistants in Winchester

Mailing Address

1840 Amherst St

Winchester, VA 226012808

Phone: 5405368708

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.