William Zachary Smith, M.D.
NPI 1609281138ActiveIndividual· Pain Medicine, Interventional Pain Medicine· San Antonio, TX
Pain Medicine, Interventional Pain Medicine (M.D.) in San Antonio, Texas, licensed in TX, with an NPI issued in June 2014. 212 Medicare patients in 2024, $350,986 paid; nearly all of their 182 Part D prescriptions were generic (98%). Medtronic, Inc. was the largest of 3 companies reporting payments in 2025, $685.28 in all, mostly food and beverage. Lists Methodist Hospital Stone Oak as a hospital affiliation.
Overview
| NPI | 1609281138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 23, 2014 |
| Last updated in NPPES | Dec 6, 2022 |
| Certified by provider | Dec 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | T1219 | TX |
| Anesthesiology, Pain Medicine | 207LP2900X | T1219 | 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 - Interventional Pain Management (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 212 |
|---|---|
| Services billed | 12,359 across 39 procedure codes |
| Paid by Medicare | $350,986 |
Part D prescriptions in 2024
| Prescriptions (claims) | 182 · 204 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $3,194 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Interventional Pain Management |
Hospital affiliation
- Methodist Hospital Stone OakSan Antonio, TX
Industry payments (Open Payments)
- 2025$685.28 · 16 payments from 3 companies
- 2024$923.03 · 25 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $302.25 | 10 |
| Boston Scientific Corporation | $288.75 | 3 |
| Si-Bone, Inc. | $94.28 | 3 |
What the 2025 payments were for
- Food and Beverage$685.28 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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