James Darryl Smith, P.A.
Physician Assistant (P.A.) with Skin Solutions Dermatology and Skin Cancer Surgery, P.C., practicing in Niceville, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,048,826 for 1,451 claims, against $343,883 paid for services in 2024. Janssen Biotech, Inc. was the largest of 9 companies reporting payments in 2025, $720.96 in all, mostly food and beverage. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1568886406 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Feb 12, 2014 |
| Last updated in NPPES | Feb 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9107749 | FL |
| Physician Assistant, Medical | 363AM0700X | PA9107749 | FL |
| Physician Assistant, Surgical | 363AS0400X | PA9107749 | FL |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Florida, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | James Jason Smith · Nurse/Nurses Aide | 1128b4 | May 20, 2025 | Panama City, FL |
| Name + state | James Leon Smith | 1128b4 | Dec 20, 2004 | Clearwater, FL |
| Name + state | James Floyd Smith · Nurse/Nurses Aide | 1128b4 | Feb 6, 1990 | Naples, FL |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 782 |
|---|---|
| Services billed | 9,071 across 64 procedure codes |
| Paid by Medicare | $343,883 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,451 · 1,842 30-day fills |
|---|---|
| Patients | 543 |
| Total drug cost | $1,048,826 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Franklin, TN · 28 clinicians
Industry payments (Open Payments)
- 2025$720.96 · 34 payments from 9 companies
- 2024$509.98 · 23 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $281.86 | 14 |
| Ucb, Inc. | $106.63 | 5 |
| Lilly USA, LLC | $91.64 | 4 |
| Novartis Pharmaceuticals Corporation | $86.87 | 4 |
| Paratek Pharmaceuticals, Inc. | $71.29 | 3 |
What the 2025 payments were for
- Food and Beverage$720.96 · 34 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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