MARY EVELYN SMITH PA-C
NPI 1629451380
Physician Assistant in Duarte, CA

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
1500 DUARTE RD, DUARTE, CA 91010(800) 826-4673 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Evelyn Smith Pa-c NPPES

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

MARY EVELYN SMITH PA-C (NPI 1629451380) is an individual physician assistant in Duarte, California, licensed in California (52652) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629451380
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY EVELYN SMITHCredential: PA-C
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1629451380 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 CA · 52652
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.
1500 DUARTE RD, Duarte, CA 91010

Secondary Practice Location 1

Location 12080 San Pasqual StPasadena, CA 91107-5157 · Phone (626) 840-1120

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

Mary Evelyn 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 ID1850660093
PECOS Enrollment IDI20170703001593
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 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010

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 Mary Evelyn Smith's NPI number?

The NPI number for Mary Evelyn Smith is 1629451380. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Mary Evelyn Smith located?

Mary Evelyn Smith practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (800) 826-4673.

What is Mary Evelyn Smith's specialty?

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

Is Mary Evelyn Smith enrolled in Medicare?

Yes. Mary Evelyn 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.

When was this NPI record last updated?

The NPPES record for Mary Evelyn Smith was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.