MARCY LOUISE SMITH ANP
NPI 1629093067
Nurse Practitioner - Adult Health in Austin, TX

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705(512) 324-3440(512) 406-6513 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcy Louise Smith Anp NPPES

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

MARCY LOUISE SMITH ANP (NPI 1629093067) is an individual adult health provider in Austin, Texas, licensed in Texas (734860) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1629093067
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARCY LOUISE SMITHCredential: ANP
Location Address1301 W 38TH ST, SUITE 400Austin, TX 78705-1000
Mailing Address1400 N Ih 35, Suite 300Austin, TX 78701-1926 · (512) 324-8300 · Fax (512) 324-8301
Fax(512) 406-6513
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 20, 2015
NPI 1629093067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · 734860
1301 W 38TH ST, Austin, TX 78705

Other Identifiers 8

Other8099NMTX · Bcbs
Medicaid185066103TX
Medicaid185066104TX
Medicaid185066101TX
Medicare PIN350129YL9XTX
Medicare PIN350129YMGJTX
Medicare PIN8J4868TX
Other8780NKTX · Bcbs

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

Marcy Louise Smith Anp 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 ID8426079740
PECOS Enrollment IDI20070627000296
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 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.
188 services95 patients
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.
104 services79 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.
53 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
17%275 patients1/55-star benchmark: 100%
Breast Cancer Screening
14%93 patients1/55-star benchmark: 93%
Cervical Cancer Screening
7%58 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
38%32 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
16%259 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
77%251 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
93%41 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
90%150 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
88%67 patients4/55-star benchmark: 99%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
10%62 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
3%98 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
82%98 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,056 patients4/55-star benchmark: 100%
e-Prescribing
17%281 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%271 patients1/55-star benchmark: 100%
HIV Screening
5%190 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
4%244 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%376 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
76%385 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
61%180 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 414 patients
Patients screened: 96% · 414 patients
38%34 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 29% · 244 patients
28%244 patients
Provide Patients Electronic Access to Their Health Information
74%155 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
21%130 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%310 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 274 patients
Patients totalRate: 4% · 275 patients
3%275 patients4/55-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.

Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Internal Medicine (Interventional Cardiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705

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 Marcy Smith's NPI number?

The NPI number for Marcy Smith is 1629093067. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Marcy Smith located?

Marcy Smith practices at 1301 W 38th St Suite 400, Austin, TX 78705. The listed phone number is (512) 324-3440.

What is Marcy Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marcy Smith enrolled in Medicare?

Yes. Marcy 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 Marcy Smith accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Marcy 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 Marcy Smith was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.