DR. MARCUS DARNELL SMITH SR. MD
NPI 1265438519
Hospitalist in Shenandoah, TX

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
17201 I H 45 S, SHENANDOAH, TX 77385(936) 270-2099 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marcus Darnell Smith Sr. Md NPPES

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

DR. MARCUS DARNELL SMITH SR. MD (NPI 1265438519) is an individual hospitalist provider in Shenandoah, Texas, licensed in Texas (M0278) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and is a graduate of Howard University College Of Medicine (1999).

NPPES Registry Identity

NPI1265438519
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MARCUS DARNELL SMITH SR.Credential: MD
Location Address17201 I H 45 SShenandoah, TX 77385-3311
Mailing Address17201 I H 45 SShenandoah, TX 77385-3311 · (936) 270-2099
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1999
Enumeration DateJune 22, 2005
Last NPPES UpdateAugust 16, 2018
NPI 1265438519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · M0278
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License M0278 (TX)
17201 I H 45 S, Shenandoah, TX 77385

Other Identifiers 2

Other854652Bcbs
Medicaid170716803TX

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

Dr. Marcus Darnell Smith Sr. 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 ID5294724381
PECOS Enrollment IDI20041229000806
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
355 services162 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.
229 services144 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
78 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$15.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$66.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Adult Health)
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
THE WOODLANDS, TX 77385

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 Marcus Smith's NPI number?

The NPI number for Marcus Smith is 1265438519. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Marcus Smith located?

Marcus Smith practices at 17201 I H 45 S, Shenandoah, TX 77385. The listed phone number is (936) 270-2099.

What is Marcus Smith's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marcus Smith enrolled in Medicare?

Yes. Marcus 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 Marcus Smith accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Marcus 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 Marcus Smith affiliated with any hospitals?

According to CMS data, Marcus Smith is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Marcus Smith was last updated on August 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.