Lori D. Smith, M.D.
Opted out of Medicare from July 2025 to July 2027. Internal Medicine (M.D.) in Concord, North Carolina, licensed in NC, with an NPI issued in August 2006. Their prescriptions cost Medicare Part D more than their services did: $72,240 for 448 claims, against $3,422 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 4 companies reporting payments in 2025, $124.40 in all, mostly food and beverage.
Overview
| NPI | 1639282692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 16, 2006 |
| Last updated in NPPES | Apr 11, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2006-00920 | NC |
| Internal Medicine, Bariatric Medicine | 207RB0002X | 2006-00920 | NC |
| Preventive Medicine, Obesity Medicine | 2083B0002X | 2006-00920 | NC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2025 – Jul 1, 2027 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 86 across 23 procedure codes |
| Paid by Medicare | $3,422 |
Part D prescriptions in 2024
| Prescriptions (claims) | 448 · 1,029 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $72,240 |
| Generic share | 84% of claims |
Industry payments (Open Payments)
- 2025$124.40 · 5 payments from 4 companies
- 2024$435.78 · 22 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $45.70 | 2 |
| Viiv Healthcare Company | $29.02 | 1 |
| Abbott Laboratories | $27.13 | 1 |
| Exact Sciences Corporation | $22.55 | 1 |
What the 2025 payments were for
- Food and Beverage$124.40 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 110 internal medicine physicians in Concord · All internal medicine physicians in North Carolina