Rachel Marie Smith, P.A.
NPI 1851323919ActiveIndividual· Physician Assistant· Longview, TX
Physician Assistant (P.A.) with Wallis Dermatology Associates PLLC, practicing in Longview, Texas. Their prescriptions cost Medicare Part D more than their services did: $790,939 for 1,066 claims, against $224,202 paid for services in 2024. Genzyme Corporation was the largest of 18 companies reporting payments in 2025, $2,764 in all, mostly food and beverage.
Overview
| NPI | 1851323919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Aug 30, 2022 |
| Certified by provider | Aug 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA03793 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 848 |
|---|---|
| Services billed | 15,324 across 45 procedure codes |
| Paid by Medicare | $224,202 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,066 · 1,304 30-day fills |
|---|---|
| Patients | 370 |
| Total drug cost | $790,939 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wallis Dermatology Associates PLLCMarshall, TX · 12 clinicians
Industry payments (Open Payments)
- 2025$2,764 · 134 payments from 18 companies
- 2024$1,919 · 97 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $441.06 | 17 |
| Abbvie Inc. | $410.58 | 31 |
| Sun Pharmaceutical Industries Inc. | $316.80 | 10 |
| Regeneron Healthcare Solutions, Inc. | $259.25 | 8 |
| Novartis Pharmaceuticals Corporation | $192.96 | 10 |
What the 2025 payments were for
- Food and Beverage$2,507 · 130 payments
- Education$257.62 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 physician assistants in Longview · All physician assistants in Texas