ARTHUR M SMITH MD
NPI 1043211444
Internal Medicine - Interventional Cardiology in Austin, TX

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
86.39/100
CMS Quality Rating
3801 N LAMAR BLVD, STE 300, AUSTIN, TX 78756(512) 206-3600(512) 454-2581 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arthur M Smith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARTHUR M SMITH MD (NPI 1043211444) is an individual interventional cardiology provider in Austin, Texas, licensed in Texas (J5018) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1043211444
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameARTHUR M SMITHCredential: MD
Location Address3801 N LAMAR BLVD, STE 300Austin, TX 78756-4080
Mailing Address7800 Shoal Creek Blvd Ste 205n, Austin HeartAustin, TX 78757-1016 · (512) 206-4341 · Fax (512) 407-1947
Fax(512) 454-2581
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 9, 2005
Last NPPES UpdateJanuary 27, 2022
NPI 1043211444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · J5018
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J5018 (TX)
3801 N LAMAR BLVD, Austin, TX 78756

Other Identifiers 1

Medicaid1284721-04TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Arthur M Smith Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709970536
PECOS Enrollment IDI20070924000428
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
583 services352 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
348 services328 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
323 services123 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
304 services276 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
128 services122 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
119 services119 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Ascension Seton Southwest

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450865
Location7900 Fm 1826Austin, TX 78737 · Hays County
Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.99
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
66%504 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
94%33 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%49 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,270 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%402 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
93%711 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 675 patients
Patients totalRate: 0% · 675 patients
0%675 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3801 N LAMAR BLVD
AUSTIN, TX 78756
Internal Medicine (Cardiovascular Disease)
3801 N LAMAR BLVD, STE 300, AUSTIN HEART PA
AUSTIN, TX 78756
Nurse Practitioner (Family)
3801 N LAMAR BLVD
AUSTIN, TX 78756
Nurse Practitioner (Family)
3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756
Clinical Nurse Specialist (Adult Health)
3801 N LAMAR BLVD, SUITE 300
AUSTIN, TX 78756
Clinical Nurse Specialist (Adult Health)
3801 N LAMAR BLVD, STE. 300
AUSTIN, TX 78756
Internal Medicine
3801 N LAMAR BLVD
AUSTIN, TX 78756
Nurse Anesthetist, Certified Registered
3801 N LAMAR BLVD
AUSTIN, TX 78756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arthur Smith's NPI number?

The NPI number for Arthur Smith is 1043211444. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Arthur Smith located?

Arthur Smith practices at 3801 N Lamar Blvd Ste 300, Austin, TX 78756. The listed phone number is (512) 206-3600.

What is Arthur Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Arthur Smith enrolled in Medicare?

Yes. Arthur Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Arthur Smith accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Arthur Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arthur Smith affiliated with any hospitals?

According to CMS data, Arthur Smith is affiliated with St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center, Ascension Seton Southwest and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Arthur Smith was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.