Dr. Larry Dean Smith , DO
Emergency Medicine • Omak, WA
617 Benton St
Omak, WA 98841
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. Larry Smith is listed in NPPES under Emergency Medicine.
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NPI assigned on April 6, 2006; this date does not establish years in practice.
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Published CMS data list 1,187 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: 231 service units.
- 85025 — Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 100 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 98 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 all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,642 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 — 99 prescription fills, including refills.
- Lisinopril — 82 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) — 69 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 58 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Washington (2024, 825 clinicians with data). Median for this group: 293. Middle half: 148 to 480.
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 1,043 in 2020 to 1,187 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
617 Benton St
Omak, WA 98841
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Nespelem, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Dhhs Ihs Colville Service Unit; Omak Tribal Health Clinic. 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
Western University Of Health Sciences College Of Dental Med
1988
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
192 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 $61,223 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 $50,948 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
1,930 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
$155,806 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
38 years (graduated 1988)
CMS Doctors and Clinicians data list 1988 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
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.
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. 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 Dr. 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 Omak and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Washington (2024, 825 clinicians with data). Median for this group: 293. Middle half: 148 to 480.
Too few clinicians listed under Emergency Medicine in Omak have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Emergency Medicine in Washington (2024, 825 clinicians with data). Median for this group: $35,464. Middle half: $19,165 to $57,352.
Too few clinicians listed under Emergency Medicine in Omak have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Emergency Medicine in Washington (2024, 825 clinicians with data). Median for this group: $26,539. Middle half: $14,383 to $43,484.
Too few clinicians listed under Emergency Medicine in Omak have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Washington (2024, 753 clinicians with data). Median for this group: 81. Middle half: 37 to 147.
Too few clinicians listed under Emergency Medicine in Omak have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Emergency Medicine in Washington (2024, 753 clinicians with data). Median for this group: $643. Middle half: $263 to $1,197.
Too few clinicians listed under Emergency Medicine in Omak have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Emergency Medicine with a practice address in Omak, WA (1,460 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 increased 14% from 1,043 in 2020 to 1,187 in 2024.
- 2020: 1,043
- 2021: 1,545
- 2022: 70
- 2023: 1,132
- 2024: 1,187
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Medicare-allowed amount
Medicare-allowed amount increased 104% from $30,076 in 2020 to $61,223 in 2024.
- 2020: $30,076
- 2021: $48,856
- 2022: $4,113
- 2023: $46,629
- 2024: $61,223
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Paid by Medicare
Paid by Medicare increased 116% from $23,607 in 2020 to $50,948 in 2024.
- 2020: $23,607
- 2021: $39,376
- 2022: $2,463
- 2023: $38,766
- 2024: $50,948
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 72% from 957 in 2020 to 1,642 in 2024.
- 2020: 957
- 2021: 1,551
- 2022: 1,492
- 2023: 1,628
- 2024: 1,642
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30-day fills
30-day fills increased 43% from 1,348 in 2020 to 1,930 in 2024.
- 2020: 1,348
- 2021: 2,192
- 2022: 1,927
- 2023: 1,986
- 2024: 1,930
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Part D drug cost
Part D drug cost increased 119% from $71,100 in 2020 to $155,806 in 2024.
- 2020: $71,100
- 2021: $197,825
- 2022: $101,903
- 2023: $155,229
- 2024: $155,806
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 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 |
|---|---|---|---|---|
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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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231 | 107 | $173.25 | $87.68 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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100 | 74 | $38.82 | $7.61 |
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36415
Insertion of needle into vein for collection of blood sample
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98 | 63 | $20.00 | $8.65 |
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90480
Admn sarscov2 vacc 1 dose
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85 | 71 | $40.00 | $39.20 |
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91322
Sarscov2 vac 50 mcg/0.5ml im
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85 | 71 | $152.22 | $148.27 |
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83036
Hemoglobin a1c level
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80 | 52 | $72.03 | $9.52 |
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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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61 | 50 | $252.52 | $124.49 |
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G0008
Administration of influenza virus vaccine
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61 | 60 | $26.33 | $24.89 |
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80053
Blood test, comprehensive group of blood chemicals
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59 | 43 | $47.36 | $10.35 |
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90662
Influenza vaccine split virus, preservative free
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50 | 49 | $62.28 | $60.18 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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46 | 35 | $105.33 | $54.79 |
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82570
Creatinine level to test for kidney function or muscle injury
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45 | 39 | $42.40 | $5.08 |
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82043
Urine microalbumin (protein) level
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43 | 37 | $68.63 | $5.66 |
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81002
Urinalysis, manual test
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29 | 28 | $14.83 | $3.41 |
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81003
Automated urinalysis test
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29 | 28 | $15.07 | $2.20 |
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81000
Manual urinalysis test with examination using microscope, non-automated
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25 | 20 | $22.84 | $3.94 |
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81001
Manual urinalysis test with examination using microscope, automated
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21 | 16 | $36.76 | $3.11 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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21 | 21 | $1040.95 | $292.08 |
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G0009
Administration of pneumococcal vaccine
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18 | 18 | $29.06 | $26.63 |
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 | 99 | 5,044 | $1,189.73 | 25 |
| Lisinopril | Lisinopril | 82 | 3,708 | $1,146.50 | 17 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 69 | 2,060 | $9,110.08 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 66 | 640 | $1,268.22 | 11 |
| Potassium Chloride | Potassium Chloride | 61 | 1,545 | $1,538.30 | — |
| Furosemide | Furosemide | 53 | 1,570 | $539.39 | — |
| Losartan Potassium | Losartan Potassium | 48 | 1,740 | $772.43 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 45 | 2,180 | $630.71 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 44 | 1,174 | $1,679.64 | 14 |
| Amlodipine Besylate | Amlodipine Besylate | 42 | 1,800 | $552.64 | — |
| Velphoro | Sucroferric Oxyhydroxide | 42 | 301 | $18,974.49 | — |
| Ozempic | Semaglutide | 42 | 1,184 | $43,712.37 | — |
| Metformin Hcl | Metformin Hcl | 41 | 1,454 | $731.32 | — |
| Jardiance | Empagliflozin | 41 | 1,206 | $25,882.04 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 40 | 1,200 | $439.53 | — |
| Risperidone | Risperidone | 40 | 978 | $1,413.11 | — |
| Sertraline Hcl | Sertraline Hcl | 39 | 1,170 | $771.30 | — |
| Fluoxetine Hcl | Fluoxetine Hcl | 37 | 1,110 | $1,407.36 | — |
| Metoprolol Succinate | Metoprolol Succinate | 34 | 1,020 | $939.12 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 34 | 1,620 | $993.21 | — |
| Gabapentin | Gabapentin | 31 | 1,170 | $544.66 | — |
| Quetiapine Fumarate | Quetiapine Fumarate | 29 | 870 | $913.92 | — |
| Metformin Hcl Er | Metformin Hcl | 28 | 840 | $556.99 | — |
| Clopidogrel | Clopidogrel Bisulfate | 26 | 881 | $549.79 | — |
| Ibuprofen | Ibuprofen | 25 | 623 | $192.46 | — |
(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
Self-certified to NPPES: 2021-08-25NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20170724003308
TX
8729061189
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
Dhhs Ihs Colville Service Unit
19 Lakes St, Nespelem, WA 991550000
Phone: 5096342900
Omak Tribal Health Clinic
617 Benton St, Omak, WA 988419636
Phone: 5096342992
Secondary Practice Locations
19 Lakes Street
Nespelem, WA 99155
Phone: 5094222900
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 - Family
Nurse Practitioner (Certified)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 617 BENTON ST, OMAK, WA 98841 (Tel: 5094227416)
Registered at 19 LAKES STREET, NESPELEM, WA 99155 (Tel: 5094222900)
Registered at PO BOX 71, NESPELEM, WA 991550071 (Tel: 5096342900)
NPI status registered as active in NPPES database
Registered at 810 JASMINE ST, OMAK, WA 988419578 (Tel: 5098261760)
Registered at PO BOX 793, OMAK, WA 988410793 (Tel: 5098261760)
Recorded as LARRY SMITH, D.O.
Emergency Medicine (license number reported to NPPES: WA OP00001346)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 71
Nespelem, WA 991550071
Phone: 5096342995