Zachary Joseph Smith, MD
NPI 1750489258ActiveIndividual· Internal Medicine· Houston, TX
Internal Medicine (MD) in Houston, Texas, trained at University of Texas Medical School at Houston (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $288,969 for 5,334 claims, against $100,696 paid for services in 2024. Ebi, LLC was the largest of 3 companies reporting payments in 2025, $394.81 in all, mostly food and beverage.
Overview
| NPI | 1750489258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Jul 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | L6650 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| 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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 371 |
|---|---|
| Services billed | 2,004 across 33 procedure codes |
| Paid by Medicare | $100,696 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,334 · 12,350 30-day fills |
|---|---|
| Patients | 463 |
| Total drug cost | $288,969 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at Houston |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
Hospital affiliations
- HCA Houston Healthcare WestHouston, TX
- Houston Methodist HospitalHouston, TX
- Houston Methodist West HospitalHouston, TX
- Memorial Hermann Memorial City HospitalHouston, TX
Other facilities
- Vitalcaring GroupHome health agency · Missouri City, TX
- Lotus HospiceHospice · Houston, TX
Industry payments (Open Payments)
- 2025$394.81 · 21 payments from 3 companies
- 2024$218.57 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ebi, LLC | $150.47 | 13 |
| Medtronic, Inc. | $144.76 | 5 |
| Highridge Medical LLC | $99.58 | 3 |
What the 2025 payments were for
- Food and Beverage$394.81 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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