Deborah F. Smith, FNP
Nurse Practitioner, Family (FNP) with Crossroads Medical Group, PLLC, practicing in Smithville, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $409,905 for 3,197 claims, against $12,388 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $861.97 in all, mostly food and beverage. Lists Dekalb Community Hospital as a hospital affiliation. 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 | 1598084170 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | May 22, 2010 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 00000046680 | TN |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Tennessee, 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 | Deborah E. Smith · Nurse/Nurses Aide | 1128b4 | Dec 20, 2012 | Harrison, TN |
| 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 - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 644 across 34 procedure codes |
| Paid by Medicare | $12,388 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,197 · 6,002 30-day fills |
|---|---|
| Patients | 251 |
| Total drug cost | $409,905 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Crossroads Medical Group, PLLCWhite House, TN · 55 clinicians
Hospital affiliation
- Dekalb Community HospitalSmithville, TN
Industry payments (Open Payments)
- 2025$861.97 · 51 payments from 15 companies
- 2024$574.61 · 33 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $161.94 | 11 |
| Novo Nordisk Inc | $153.73 | 8 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $98.29 | 4 |
| Exact Sciences Corporation | $96.31 | 5 |
| Lilly USA, LLC | $73.70 | 5 |
What the 2025 payments were for
- Food and Beverage$861.97 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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