Dr. Jay S Smitherman , MD
Internal Medicine • Lacey, WA
2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im
Lacey, WA 985163138
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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Dr. Jay Smitherman is listed in NPPES under Internal Medicine.
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NPI assigned on October 24, 2005; this date does not establish years in practice.
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Published CMS data list 113 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:
- 99213 — Established patient outpatient office visit: 50 service units.
- 99214 — Established patient outpatient office visit: 44 service units.
- 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: 19 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 189 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:
- Hydrochlorothiazide — 26 prescription fills, including refills.
- Atorvastatin Calcium — 25 prescription fills, including refills.
- Losartan Potassium — 24 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 10 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
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 214 in 2020 to 113 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2555 Marvin Rd Ne
Pmg Sw Wa Hawks Prairie Im
Lacey, WA 985163138
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Washington. 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
Baylor College Of Medicine
2002
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
98 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 $10,295 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 $6,109 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
566 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
$2,441 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 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.
NPI first issued
2005
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; 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)
Dr. Smitherman 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 Dr. Smitherman 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 Lacey and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
Too few clinicians listed under Internal Medicine in Lacey have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $44,391. Middle half: $19,546 to $81,175.
Too few clinicians listed under Internal Medicine in Lacey have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $34,352. Middle half: $14,821 to $61,951.
Too few clinicians listed under Internal Medicine in Lacey have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.
Too few clinicians listed under Internal Medicine in Lacey have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.
Too few clinicians listed under Internal Medicine in Lacey have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Internal Medicine with a practice address in Lacey, WA (3,081 in Washington).
Addresses are self-reported to NPPES and may be out of date.
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 47% from 214 in 2020 to 113 in 2024.
- 2020: 214
- 2021: 256
- 2022: 154
- 2023: 185
- 2024: 113
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Medicare-allowed amount
Medicare-allowed amount decreased 50% from $20,404 in 2020 to $10,295 in 2024.
- 2020: $20,404
- 2021: $28,813
- 2022: $18,322
- 2023: $19,514
- 2024: $10,295
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Paid by Medicare
Paid by Medicare decreased 53% from $13,018 in 2020 to $6,109 in 2024.
- 2020: $13,018
- 2021: $18,189
- 2022: $10,096
- 2023: $13,984
- 2024: $6,109
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 77% from 834 in 2020 to 189 in 2024.
- 2020: 834
- 2021: 604
- 2022: 461
- 2023: 520
- 2024: 189
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30-day fills
30-day fills decreased 70% from 1,899 in 2020 to 566 in 2024.
- 2020: 1,899
- 2021: 1,464
- 2022: 1,137
- 2023: 1,389
- 2024: 566
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Part D drug cost
Part D drug cost decreased 88% from $19,793 in 2020 to $2,441 in 2024.
- 2020: $19,793
- 2021: $9,635
- 2022: $20,075
- 2023: $52,955
- 2024: $2,441
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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 |
|---|---|---|---|---|
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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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50 | 50 | $276.00 | $89.18 |
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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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44 | 39 | $391.00 | $126.01 |
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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
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19 | 19 | $46.00 | $15.34 |
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 |
|---|---|---|---|---|---|
| Hydrochlorothiazide | Hydrochlorothiazide | 26 | 2,280 | $88.00 | 12 |
| Atorvastatin Calcium | Atorvastatin Calcium | 25 | 2,190 | $561.74 | 14 |
| Losartan Potassium | Losartan Potassium | 24 | 2,140 | $374.53 | — |
| Amlodipine Besylate | Amlodipine Besylate | 22 | 1,980 | $192.79 | — |
| Lisinopril | Lisinopril | 20 | 1,800 | $197.48 | — |
| Citalopram Hbr | Citalopram Hydrobromide | 17 | 1,530 | $269.75 | — |
| Metformin Hcl | Metformin Hcl | 16 | 1,470 | $171.23 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 15 | 1,350 | $282.84 | — |
| Simvastatin | Simvastatin | 12 | 1,120 | $202.80 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 12 | 1,120 | $100.08 | — |
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: 2021-03-24NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20080716000850
WA
7911950019
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
Providence Health And Services Washington
1450 Northwest Ln Se, Lacey, WA 985036908
Phone: 3604914460
Providence Health And Services Washington
525 Lilly Rd Ne, Olympia, WA 985065101
Providence Health And Services Washington
2555 Marvin Rd Ne, Lacey, WA 985163138
Phone: 3604134200
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Nurse Practitioner
Advanced Registered Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 24, 2005.
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 Internal Medicine Providers in Lacey
- Dr. Jane Geraci, MD, MPH
- Dr. Gordon Rennie, MD
- Dr. Ana Mihalcea, MD
- Dr. Edward Jansen, MD
- Dr. Ioan Nicolescu, MD
- Dr. Diana Velikova, MD
Mailing Address
Po Box 3360
Portland, OR 972083360
Phone: 3604866508