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MICHAEL JOHN GORMAN-SMITH PA-C
NPI 1154953834
Physician Assistant in Austin, TX

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
5625 EIGER RD, AUSTIN, TX 78735(512) 654-4550(512) 654-4551 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2020, May 4, 2020, Feb 10, 2020 (3 updates tracked since 2020).

About Michael John Gorman-smith Pa-c NPPES

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

MICHAEL JOHN GORMAN-SMITH PA-C (NPI 1154953834) is an individual physician assistant in Austin, Texas, licensed in Texas (PA13585) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154953834
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL JOHN GORMAN-SMITHCredential: PA-C
Location Address5625 EIGER RDAustin, TX 78735-8978
Mailing AddressPo Box 844658Dallas, TX 75284-4658
Phone(512) 654-4550
Fax(512) 654-4551
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 10, 2020
Last NPPES UpdateDecember 23, 20203 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
✔ NPI 1154953834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA13585
Definition
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.
5625 EIGER RD, Austin, TX 78735
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Michael John Gorman-smith Pa-c 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 ID2264861830
PECOS Enrollment IDI20200402000191
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services56 patients
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.
29 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670131
Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County
Emergency services

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DARREN EUGENE GEYER M.D.
Family Medicine
5625 EIGER RD, SUITE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
REBECCA CARLYLE ELLSPERMANN PA-C
Physician Assistant
5625 EIGER RD, SUITE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
DR. RITA MARIE SCHULTZ D.O.
Family Medicine
5625 EIGER RD, STE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
SWMV IMAGING PARTNERS LLC
Clinic/Center (Radiology)
5625 EIGER RD, SUITE 165
AUSTIN, TX 78735
Travis County (512) 519-3474
MARK DAWSON M.D.
Family Medicine
5625 EIGER RD, SUITE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
MS. LESLIE BRICE PA
Physician Assistant (Medical)
5625 EIGER RD, SUITE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
SOUTH AUSTIN FAMILY PRACTICE CLINIC, PLLC
Family Medicine
5625 EIGER RD, SUITE 200
AUSTIN, TX 78735
Travis County (512) 892-7076
SPECIALTY CLINIC MEDICAL GROUP, PLLC
Psychiatry & Neurology (Psychiatry)
5625 EIGER RD, STE 215
AUSTIN, TX 78735
Travis County (512) 382-1933

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 Michael Gorman-smith's NPI number?

The NPI number for Michael Gorman-smith is 1154953834. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Michael Gorman-smith located?

Michael Gorman-smith practices at 5625 Eiger Rd, Austin, TX 78735. The listed phone number is (512) 654-4550.

What is Michael Gorman-smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Gorman-smith enrolled in Medicare?

Yes. Michael Gorman-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 Michael Gorman-smith accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Gorman-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 Michael Gorman-smith affiliated with any hospitals?

According to CMS data, Michael Gorman-smith is affiliated with Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls, Baylor Scott & White Medical Center Pflugerville, Baylor Scott & White Medical Center - Buda and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Michael Gorman-smith was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.