Stacy L. Smithson, M.D.
NPI 1063499895ActiveIndividual· Obstetrics & Gynecology· Lebanon, KY
Obstetrics & Gynecology (M.D.) in Lebanon, Kentucky, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1989). Part D covered 76 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1063499895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2005 |
| Last updated in NPPES | Oct 28, 2025 |
| Certified by provider | Oct 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | C4582 | KY |
| Obstetrics & Gynecology | 207V00000X | 22067 | NH |
| Obstetrics & Gynecology | 207V00000X | 18049 | SC |
| Obstetrics & Gynecology | 207V00000X | MD198221 | OR |
| Obstetrics & Gynecology | 207V00000X | 68868 | TN |
| Specialist | 174400000X | 18049 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (NH); Practitioner - Obstetrics/Gynecology (NV); Practitioner - Obstetrics/Gynecology (OH); Practitioner - Obstetrics/Gynecology (SC); Practitioner - Obstetrics/Gynecology (TN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 130 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $4,954 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- Northeastern Nevada Physician Practices LLCElko, NV · 21 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Obstetrics & Gynecology providers in Lebanon
- 1215094792
- 1104932466
- 1922010396