Paul Heermans Smith Jr., M.D.
NPI 1770585176ActiveIndividual· Internal Medicine· San Antonio, TX
Internal Medicine (M.D.) in San Antonio, Texas, trained at Vanderbilt University School of Medicine (class of 1981). Their prescriptions cost Medicare Part D more than their services did: $872,268 for 13,494 claims, against $206,916 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2024, $79.80 in all, mostly food and beverage.
Overview
| NPI | 1770585176 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | Jan 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | G7003 | 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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 798 |
|---|---|
| Services billed | 4,262 across 51 procedure codes |
| Paid by Medicare | $206,916 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,494 · 26,096 30-day fills |
|---|---|
| Patients | 877 |
| Total drug cost | $872,268 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 1981 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Bhs Physicians Network, IncBrownsville, TX · 706 clinicians
Hospital affiliation
- Baptist Medical CenterSan Antonio, TX
Other facilities
- Amedisys Home HealthHome health agency · San Antonio, TX
- Beyondfaith Homecare & Rehab San AntonioHome health agency · San Antonio, TX
- Crest Home HealthHome health agency · Boerne, TX
- Enhabit Home HealthHome health agency · San Antonio, TX
- Methodist Healthcare at HomeHome health agency · San Antonio, TX
- Vitas Healthcare of Texas LPHospice · San Antonio, TX
- Parklane West Healthcare CenterNursing home · San Antonio, TX
- Sage Park San AntonioNursing home · San Antonio, TX
Industry payments (Open Payments)
- 2024$79.80 · 4 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $24.81 | 1 |
| Bausch Health US, LLC | $24.28 | 1 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $17.18 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $13.53 | 1 |
What the 2024 payments were for
- Food and Beverage$79.80 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 824 internal medicine physicians in San Antonio · All internal medicine physicians in Texas