David Earl Smith Jr., M.D.
NPI 1912903741ActiveIndividual· Family Medicine· Paducah, KY
Family Medicine (M.D.) in Paducah, Kentucky, trained at University of Louisville School of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $1,297,159 for 13,629 claims, against $783.89 paid for services in 2024. Bayer Healthcare Pharmaceuticals Inc. was the largest of 17 companies reporting payments in 2025, $456.54 in all, mostly food and beverage.
Overview
| NPI | 1912903741 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2005 |
| Last updated in NPPES | Nov 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 36603 | KY |
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 - Family Practice (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 32 across 11 procedure codes |
| Paid by Medicare | $783.89 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,629 · 23,652 30-day fills |
|---|---|
| Patients | 700 |
| Total drug cost | $1,297,159 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Family Practice |
Medical group
- ArcareJonesboro, AR · 253 clinicians
Hospital affiliations
- Baptist Health PaducahPaducah, KY
- Mercy Health - Lourdes HospitalPaducah, KY
Other facilities
- Centerwell Home HealthHome health agency · Murray, KY
- Mercy Health - Home Care, PaducahHome health agency · Paducah, KY
Industry payments (Open Payments)
- 2025$456.54 · 24 payments from 17 companies
- 2024$535.57 · 32 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $51.96 | 3 |
| Axsome Therapeutics, Inc. | $49.45 | 2 |
| Gilead Sciences, Inc. | $39.95 | 2 |
| Novartis Pharmaceuticals Corporation | $38.14 | 2 |
| Astrazeneca Pharmaceuticals LP | $32.68 | 2 |
What the 2025 payments were for
- Food and Beverage$456.54 · 24 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 54 family medicine physicians in Paducah · All family medicine physicians in Kentucky