MR. MATTHEW RYAN SMITH PA-C
NPI 1144412362
Physician Assistant - Medical in Lutz, FL

Active since August 12, 2007Opted out of Medicare · through Oct 1, 2026
21756 STATE ROAD 54 STE 102A, LUTZ, FL 33549(813) 493-4093(656) 444-7252 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Matthew Ryan Smith Pa-c NPPES

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

MR. MATTHEW RYAN SMITH PA-C (NPI 1144412362) is an individual medical provider in Lutz, Florida, licensed in Florida (PA9107760) and active in the NPI registry since August 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144412362
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MATTHEW RYAN SMITHCredential: PA-C
Location Address21756 STATE ROAD 54 STE 102ALutz, FL 33549-2905
Mailing Address2920 Bayshore Vista DrTampa, FL 33611-5510 · (813) 787-3347
Fax(656) 444-7252
Sole ProprietorYes
Enumeration DateAugust 12, 2007
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1144412362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9107760
21756 STATE ROAD 54 STE 102A, Lutz, FL 33549

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Matthew Ryan Smith Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
21756 STATE ROAD 54 STE 102A
LUTZ, FL 33549
Orthopaedic Surgery
21756 STATE ROAD 54 STE 102A
LUTZ, FL 33549

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 Matthew Smith's NPI number?

The NPI number for Matthew Smith is 1144412362. It was assigned to this individual provider in the NPPES registry on August 12, 2007.

Where is Matthew Smith located?

Matthew Smith practices at 21756 State Road 54 Ste 102A, Lutz, FL 33549. The listed phone number is (813) 493-4093.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Smith enrolled in Medicare?

No. Matthew Smith has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Matthew Smith was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.