1. Home
  2. Directory
  3. Texas
  4. Spring
  5. Physician Assistant
  6. NPI Profile

MR. SHANE O SMITH PA-C
NPI 1609199876
Physician Assistant in Spring, TX

Active since March 02, 2010PECOS Enrolled
1104 RAYFORD RD STE 500, SPRING, TX 77386(281) 825-3265 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Sep 13, 2021 (2 updates tracked since 2021).

About Mr. Shane O Smith Pa-c NPPES

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

MR. SHANE O SMITH PA-C (NPI 1609199876) is an individual physician assistant in Spring, Texas, licensed in Texas (PA08487) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609199876
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANE O SMITHCredential: PA-C
Location Address1104 RAYFORD RD STE 500Spring, TX 77386-2621
Mailing Address16840 Buccaneer Ln Ste 202Houston, TX 77058-2570 · (281) 991-2200 · Fax (281) 991-7700
Phone(281) 825-3265
Sole ProprietorNo
Enumeration DateMarch 2, 2010
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1609199876 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 · PA08487
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.
1104 RAYFORD RD STE 500, Spring, TX 77386
Open in Google Maps ↗

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 (PECOS)

Mr. Shane O Smith Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77386 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

NATALIE BALES MSN, APRN, FNP-C
Nurse Practitioner (Family)
1104 RAYFORD RD STE 500
SPRING, TX 77386
Montgomery County (281) 825-3265
AMY NOELLE GRACEY PA-C
Physician Assistant
1104 RAYFORD RD STE 500
SPRING, TX 77386
Montgomery County (832) 693-3234
ADEBUSOLA OLOFINLADE FNP-C
Nurse Practitioner (Family)
1104 RAYFORD RD STE 500
SPRING, TX 77386
Montgomery County (281) 825-3265
ERIKA YECENIA PATTERSON NP
Nurse Practitioner (Family)
1104 RAYFORD RD STE 500
SPRING, TX 77386
Montgomery County (281) 825-3265

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 Shane Smith's NPI number?

The NPI number for Shane Smith is 1609199876. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Shane Smith located?

Shane Smith practices at 1104 Rayford Rd Ste 500, Spring, TX 77386. The listed phone number is (281) 825-3265.

What is Shane Smith's specialty?

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

Is Shane Smith enrolled in Medicare?

Yes. Shane Smith is registered in the Medicare PECOS enrollment system.

What insurance does Shane Smith accept?

Health plans from Blue Cross and Blue Shield of Texas list Shane 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.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.