JACK COLDWELL SMITH III MD
NPI 1871538041
Internal Medicine in Carthage, TX
About Jack Coldwell Smith Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK COLDWELL SMITH III MD (NPI 1871538041) is an individual internal medicine provider in Carthage, Texas, licensed in Texas (L3131) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Coldwell Smith Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 636 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CARTHAGE, TX 75633
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 Jack Smith's NPI number?
The NPI number for Jack Smith is 1871538041. It was assigned to this individual provider in the NPPES registry on June 19, 2006.
Where is Jack Smith located?
Jack Smith practices at 409 Cottage Rd, Carthage, TX 75633. The listed phone number is (903) 694-4824.
What is Jack Smith's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jack Smith enrolled in Medicare?
Yes. Jack Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Smith reassigns Medicare benefits to Etmc Physician Group Inc. (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Smith accept?
Health plans from Blue Cross and Blue Shield of Texas list Jack 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 Jack Smith was last updated on May 4, 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.
# Jack Coldwell Smith III, MD · NPI 1871538041
Internal Medicine physician in Carthage, Texas. Individual provider, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1871538041 (Entity type: Individual)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** L3131 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 409 COTTAGE RD, Carthage, TX 75633-1466
- **Phone:** (903) 694-4824 · **Fax:** (903) 694-4621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Etmc Physician Group Inc. (NPI 1609382662, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2023
- **Other identifiers:** Medicaid 159534003 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1871538041) · Data from the CMS NPPES public registry.