James Smelser, M. D.
NPI 1881685089ActiveIndividual· Internal Medicine, Nephrology· Huntsville, AL
Internal Medicine, Nephrology (M. D.) in Huntsville, Alabama, trained at University of Alabama School of Medicine (class of 1990). 955 Medicare patients in 2024, $248,687 paid; nearly all of their 713 Part D prescriptions were generic (92%). Fresenius USA Marketing, Inc. was the largest of 17 companies reporting payments in 2025, $1,814 in all, mostly food and beverage.
Overview
| NPI | 1881685089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. D. |
| Sole proprietor | No |
| NPI issued | Nov 4, 2005 |
| Last updated in NPPES | Sep 13, 2023 |
| Certified by provider | Sep 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 18846 | AL |
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 - Nephrology (AL); Practitioner - Nephrology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 955 |
|---|---|
| Services billed | 3,542 across 22 procedure codes |
| Paid by Medicare | $248,687 |
Part D prescriptions in 2024
| Prescriptions (claims) | 713 · 1,574 30-day fills |
|---|---|
| Patients | 177 |
| Total drug cost | $142,673 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Nephrology |
| Telehealth | Offers telehealth |
Medical group
- Huntsville Renal Clinic, PCHuntsville, AL · 15 clinicians
Hospital affiliations
- Athens Limestone HospitalAthens, AL
- Crestwood Medical CenterHuntsville, AL
- Highlands Medical CenterScottsboro, AL
- Huntsville HospitalHuntsville, AL
- Marshall Medical CentersBoaz, AL
Other facilities
- Fkc ArabDialysis facility · Arab, AL
- Fmc ChaseDialysis facility · Huntsville, AL
- Fmc HuntsvilleDialysis facility · Huntsville, AL
- Fmc Huntsville HomeDialysis facility · Huntsville, AL
- Fmc TranquilityDialysis facility · Meridianville, AL
Industry payments (Open Payments)
- 2025$1,814 · 75 payments from 17 companies
- 2024$1,979 · 101 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fresenius USA Marketing, Inc. | $359.65 | 18 |
| Novartis Pharmaceuticals Corporation | $238.98 | 9 |
| Calliditas Therapeutics US Inc. | $168.61 | 8 |
| Mallinckrodt Hospital Products Inc. | $133.16 | 2 |
| Otsuka America Pharmaceutical, Inc. | $121.23 | 5 |
What the 2025 payments were for
- Food and Beverage$1,814 · 75 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 nephrologists in Huntsville · All nephrologists in Alabama