Zachary Joseph Smith, PA
NPI 1205502200ActiveIndividual· Physician Assistant· Akwesasne, NY
Physician Assistant (PA) with St Regis Mohawk Tribe, practicing in Akwesasne, New York. Their prescriptions cost Medicare Part D more than their services did: $462,681 for 2,810 claims, against $7,021 paid for services in 2024. Sun Pharmaceutical Industries Inc. was the largest of 5 companies reporting payments in 2025, $179.97 in all, mostly food and beverage. Lists Slhs Massena, Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1205502200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 19, 2021 |
| Last updated in NPPES | Sep 15, 2022 |
| Certified by provider | Sep 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 027043 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 817 across 26 procedure codes |
| Paid by Medicare | $7,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,810 · 4,102 30-day fills |
|---|---|
| Patients | 165 |
| Total drug cost | $462,681 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Regis Mohawk TribeAkwesasne, NY · 11 clinicians
Hospital affiliations
- Slhs Massena, IncMassena, NY
- The University of Vermont Health Network-Alice HyMalone, NY
Industry payments (Open Payments)
- 2025$179.97 · 9 payments from 5 companies
- 2024$592.44 · 23 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | $62.51 | 3 |
| Arcutis Biotherapeutics, Inc. | $45.70 | 3 |
| Indivior Inc. | $26.33 | 1 |
| Janssen Biotech, Inc. | $25.54 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $19.89 | 1 |
What the 2025 payments were for
- Food and Beverage$179.97 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records