2026 NPPES data Obstetrics & Gynecology Physician NPI 1538260807 M.D.
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MATHEW SMITH, M.D.

Obstetrics & Gynecology Physician in DALTON, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
549
Medicare Part D claims · 119 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.0708/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$314.6
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATHEW SMITH, M.D. reported a CMS MIPS final score of 89.0708/100 — above the 83.1 national average — and filed 549 Medicare Part D claims in 2023.

89.0708/100
MIPS score · +6 vs avg
549
Part D claims, 2023
84%
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.

MATHEW SMITH, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 42% higher than 58% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

MATHEW 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 MATHEW SMITH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/26/2006

NPI 1538260807

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

549 207% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

89.0708/100 5.970800000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Obstetrics & Gynecology Physician compares to other specialties among Georgia providers

Georgia providers

Obstetrics & Gynecology Physician share within Georgia

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Georgia

Medicare quality performance — MIPS

MATHEW SMITH, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
89.0708/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 89.0708/100 vs national avg 83.1

0%100%National avg83%89.1%
MIPS final score (Obstetrics & Gynecology Physician) — 89.0708/100 vs national avg 83.1

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).

MATHEW SMITH, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 1105 BURLEYSON RD, DALTON, GA, 30720, with a listed phone of (706) 278-4640. NPI 1538260807 was issued on 09/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 549 prescription claims written by this provider, covering 119 Medicare beneficiaries and totaling roughly $51K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 2.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.0708/100 for the 2023 performance year (Quality 87.2988, Cost 80.5042), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1105 BURLEYSON RD
DALTON, GA 30720

Provider Details

NPI 1538260807
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 09/26/2006

CMS Quality Score (MIPS)

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

89.0708
Final Score
Avg: 83.1
87.2988
Quality
80.5042
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATHEW 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.

ASSOCIATES IN OBSTETRICS AND GYNECOLOGY, PC
DALTON, GA

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 MATHEW SMITH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$315

Largest payer

Astellas Pharma US Inc

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.

Brand vs generic prescribing mix · Typical

MATHEW SMITH, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 549 2023 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 2023.

549
Total Claims
$51K
Total Drug Cost
119
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
972
Total Day Supply
27,199
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$40K
Generic Drug Cost
$11K
Opioid Claims
13 (2.4% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
1.07
Age Distribution
<65: 31, 65-74: 59, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MATHEW SMITH, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
83
Myrbetriq
Mirabegron
54
Escitalopram Oxalate
36
Estradiol (Twice Weekly)
Estradiol
27
Oxybutynin Chloride Er
Oxybutynin Chloride
25
Alendronate Sodium
21
Valacyclovir
Valacyclovir Hcl
20
Dotti
Estradiol
18
Omeprazole
14
Solifenacin Succinate
14

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

Obstetrics & Gynecology Physician Overview

How MATHEW SMITH, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

MATHEW SMITH, M.D.'s 549 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Georgia

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATHEW SMITH, M.D.'s specialty?
MATHEW SMITH, M.D. specializes in Obstetrics & Gynecology Physician and practices in DALTON, Georgia. Credentials: M.D..
How much does MATHEW SMITH, M.D. prescribe under Medicare Part D?
In 2023, MATHEW SMITH, M.D. wrote 549 Medicare Part D claims totaling $51K in drug costs for 119 beneficiaries.
What is MATHEW SMITH, M.D.'s Medicare quality score?
MATHEW SMITH, M.D. has a CMS MIPS Final Score of 89.0708/100 (Quality: 87.2988, Cost: 80.5042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATHEW SMITH, M.D. located?
MATHEW SMITH, M.D. is located at 1105 BURLEYSON RD, DALTON, GA, 30720. Phone: (706) 278-4640.
What is MATHEW SMITH, M.D.'s NPI number?
MATHEW SMITH, M.D.'s National Provider Identifier (NPI) is 1538260807, issued on 09/26/2006.
Does MATHEW SMITH, M.D. prescribe more brand-name or generic drugs?
MATHEW SMITH, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $40K in brand drug costs.
Does MATHEW SMITH, M.D. prescribe opioids?
Yes, MATHEW SMITH, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does MATHEW SMITH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATHEW SMITH, M.D.'s most frequently prescribed drugs include Estradiol, Myrbetriq, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATHEW SMITH, M.D. accept Medicare?
MATHEW SMITH, M.D. appears in CMS Medicare data with 549 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATHEW SMITH, M.D.'s credentials?
MATHEW SMITH, M.D.'s NPI is 1538260807 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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