2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1043251051 M.D.
Verify on CMS →

Joseph Smith, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Exton, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 632 in Plastic Surgery within the Head & Neck (Otolaryngology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
347
Medicare Part D claims · 122 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 403
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7/100
▲ 4 pts above national avg 83.5 · Above neutral
Industry payments
$1.5K
78 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Joseph Smith, M.D. reported a CMS MIPS final score of 87.7/100 - above the 83.5 national average - and filed 347 Medicare Part D claims in 2024.

87.7/100
MIPS score · +4 vs avg
347
Part D claims, 2024
88%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Joseph Smith, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1043251051), first enumerated 06/09/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 347 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 87.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.5K in reported industry payments (78 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Joseph Smith, M.D.'s individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1043251051 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1043251051
  • ENUM-LEGACY 2006
  • TAX-NARROW 632
  • MIPS-ABOVE 87.7/100
  • RX-LIGHT 347
  • BOOK-THIN 26 in Pennsylvania
  • PHOTO-FINISH Donald Carter, M.D. · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joseph Smith, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

88 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joseph Smith, M.D. sits

This provider among plastic surgery within the head & neck (otolaryngology) physician peers

Across the 149 plastic surgery within the head & neck (otolaryngology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Smith, M.D. writes more Part D claims than 51% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 53Joseph Smith, M.D., Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one plastic surgery within the head & neck (otolaryngology) physician peer from a representative sample of 60; the gold marker is Joseph Smith, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Joseph Smith, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Joseph Smith, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/09/2006

NPI 1043251051

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

632 US NPIs in this specialty

Medicare Part D claims

347 14% vs specialty avg

2024 prescription claims

Specialty avg: 403

MIPS final score

87.7/100 4.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…6%Pharmacist5%Physical Therapist4.8%Mental Health Counselor4%Internal Medicine Physician3.3%Professional Counselor3.2%Plastic Surgery within the H…0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Joseph Smith, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

High performer (top quartile)
MIPS Final Score
87.7/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%87.7%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) - 87.7/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

111 ARRANDALE BLVD
Exton, PA 19341

Provider Details

NPI 1043251051
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 06/09/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.7408
Final Score
Measured-score avg: 83.5
75.4815
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joseph Smith, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Ear Nose And Throat Associates OF Chester County
Exton, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Joseph Smith, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Harmony Biosciences Llc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Joseph Smith, M.D.. To verify Joseph Smith, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Joseph Smith, M.D. - brand share 12.0%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician average

12% brand-name claims vs 88% generic, on 347 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

347
Total Claims
$365K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
511
Total Day Supply
12,994
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$361K
Generic Drug Cost
$5K
Antibiotic Claims
32

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.21
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Joseph Smith, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Fluticasone Propionate
39
Methylprednisolone
30
Gabapentin
27
Ofloxacin
27
Trazodone Hcl
27
Ipratropium Bromide
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Eszopiclone
12
Albuterol Sulfate Hfa
Albuterol Sulfate
11
Azelastine Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How Joseph Smith, M.D. fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

632
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
403
Avg Claims per Provider

Joseph Smith, M.D.'s 347 claims are below the specialty average of 403.

Nationwide Plastic Surgery within the Head & Neck (Otolaryngology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Smith, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (87.7 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Smith.

One of 26 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers enrolled in Pennsylvania, 5 are shown here.

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Joseph Smith, M.D.'s specialty?
Joseph Smith, M.D. specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in Exton, Pennsylvania. Credentials: M.D..
How much does Joseph Smith, M.D. prescribe under Medicare Part D?
In 2024, Joseph Smith, M.D. wrote 347 Medicare Part D claims totaling $365K in drug costs for 122 beneficiaries.
What is Joseph Smith, M.D.'s Medicare quality score?
Joseph Smith, M.D. has a CMS MIPS Final Score of 87.7/100 (Quality: 75.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Smith, M.D. located?
Joseph Smith, M.D. is located at 111 ARRANDALE BLVD, Exton, PA, 19341. Phone: (610) 363-2532.
What is Joseph Smith, M.D.'s NPI number?
Joseph Smith, M.D.'s National Provider Identifier (NPI) is 1043251051, issued on 06/09/2006.
Does Joseph Smith, M.D. prescribe more brand-name or generic drugs?
Joseph Smith, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $361K in brand drug costs.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 632 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 403 Medicare Part D claims per year.
What drugs does Joseph Smith, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Joseph Smith, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Methylprednisolone, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Smith, M.D. accept Medicare?
Joseph Smith, M.D. appears in CMS Medicare data with 347 Part D claims and 122 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Smith, M.D.'s credentials?
Joseph Smith, M.D.'s NPI is 1043251051 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.