BRIAN SMITH M.D.
NPI 1659464642
Orthopaedic Surgery - Sports Medicine in Galveston, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
301 UNIVERSITY BLVD., GALVESTON, TX 77555(409) 772-2222 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Smith M.d. NPPES

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

BRIAN SMITH M.D. (NPI 1659464642) is an individual sports medicine provider in Galveston, Texas, licensed in Texas (K9175) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Johns Hopkins University School Of Medicine (1991).

NPPES Registry Identity

NPI1659464642
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameBRIAN SMITHCredential: M.D.
Location Address301 UNIVERSITY BLVD.Galveston, TX 77555-1022
Mailing Address301 University Blvd., Provider Enrollment -- Rt. 1022Galveston, TX 77555-1022 · (409) 747-0890 · Fax (409) 772-0885
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1991
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1659464642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in TX · K9175
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License K9175 (TX)
301 UNIVERSITY BLVD., Galveston, TX 77555

Other Identifiers 1

Medicaid037700401TX

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

Brian Smith M.d. 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 ID8426186990
PECOS Enrollment IDI20100505000149
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 6

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
948 services379 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.
165 services132 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.
157 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$41.18 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers38 claims47 services$103.27 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.

Surgery (Pediatric Surgery)
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Psychiatry & Neurology (Psychiatry)
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Orthopaedic Surgery (Sports Medicine)
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Internal Medicine
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Psychiatry & Neurology (Psychiatry)
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Pediatrics
301 UNIVERSITY BLVD.
GALVESTON, TX 77555
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD., 6.146 JOHN SEALY ANNEX
GALVESTON, TX 77555
Internal Medicine (Nephrology)
301 UNIVERSITY BLVD.
GALVESTON, TX 77555

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 Brian Smith's NPI number?

The NPI number for Brian Smith is 1659464642. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Brian Smith located?

Brian Smith practices at 301 University Blvd., Galveston, TX 77555. The listed phone number is (409) 772-2222.

What is Brian Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Brian Smith enrolled in Medicare?

Yes. Brian 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 Brian Smith accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Brian 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 Brian Smith affiliated with any hospitals?

According to CMS data, Brian Smith is affiliated with University Of Texas Medical Branch Galveston and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Brian Smith was last updated on August 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.