Toni L. Smith, PA-C
NPI 1093737520ActiveIndividual· Physician Assistant· Pearland, TX
Physician Assistant (PA-C) with Forefront Dermatology SC and 1 other group, practicing in Pearland, Texas. Their prescriptions cost Medicare Part D more than their services did: $301,846 for 886 claims, against $74,428 paid for services in 2024. Genzyme Corporation was the largest of 24 companies reporting payments in 2025, $3,674 in all, mostly food and beverage.
Overview
| NPI | 1093737520 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA02413 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 445 |
|---|---|
| Services billed | 1,906 across 23 procedure codes |
| Paid by Medicare | $74,428 |
Part D prescriptions in 2024
| Prescriptions (claims) | 886 · 974 30-day fills |
|---|---|
| Patients | 322 |
| Total drug cost | $301,846 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Forefront Dermatology SCSouthlake, TX · 662 clinicians
- Forefront Dermatology - Houston, PLLCPearland, TX · 16 clinicians
Industry payments (Open Payments)
- 2025$3,674 · 204 payments from 24 companies
- 2024$3,029 · 150 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $454.54 | 16 |
| Janssen Biotech, Inc. | $330.34 | 11 |
| Arcutis Biotherapeutics, Inc. | $314.88 | 22 |
| Abbvie Inc. | $286.72 | 23 |
| Novartis Pharmaceuticals Corporation | $286.35 | 13 |
What the 2025 payments were for
- Food and Beverage$3,474 · 202 payments
- Education$199.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 physician assistants in Pearland · All physician assistants in Texas